National Provider Identifier

Judith Maciolek, P.T., M.S.

Judith Maciolek, P.T., M.S. is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Depew, NY and a listed phone number of (716) 901-8766.

NPI 1548578446Depew, NYPediatric Physical Therapist

Profile Overview

NPI
1548578446
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
September 14, 2010
Last Updated
June 21, 2019

Practice Location

  • 2049 George Urban Blvd
  • Depew, NY 14043-1823

Phone: (716) 901-8766

Mailing Address

  • 102 Westwind Ln
  • Amherst, NY 14228-1890

Specialties

  • Pediatric Physical Therapist (2251P0200X)

Endpoints

  • jmaciolek@cantalician.org

    Direct Messaging Address | Depew, NY 14043

Full Record
NPI
1548578446
Entity Type
Individual
Last Name
Maciolek
First Name
Judith
Name Prefix
MS.
Credential
P.T., M.S.
Mailing Street Address
102 Westwind Ln
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-1890
Mailing Country
US
Mailing Phone
(716) 472-5306
Practice Street Address
2049 George Urban Blvd
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1823
Practice Country
US
Practice Phone
(716) 901-8766
Practice Fax
(716) 901-8800
Enumeration Date
September 14, 2010
Last Updated
June 21, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)