Individual
RYAN MACIUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 CURLEY DR, ORCHARD PARK, NY 14127-3448
(716) 207-2717
Mailing address
250 CURLEY DR, ORCHARD PARK, NY 14127-3448
(716) 207-2717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006850
NY
225200000X
Physical Therapy Assistant
9027
CA
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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