Individual
NICOLE MACIEJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
918 POST RD, IRVING, NY 14081-9667
(716) 868-8814
Mailing address
918 POST RD, IRVING, NY 14081-9667
(716) 868-8814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50508
CA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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