Nicole Maciejewski, PTA

NPI #1821688524 in Irving, New York

Provider Information

NPI Number: 1821688524
Entity Type: Individual
Name: Nicole Maciejewski, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 26, 2021
Last Updated: Jan 26, 2021

Practice Location

Address: 918 POST RD
City: Irving
State: New York
ZIP Code: 14081-9667
Phone: (716) 868-8814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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