National Provider Identifier

Ryan Maciuba

Ryan Maciuba is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Orchard Park, NY and a listed phone number of (716) 207-2717.

NPI 1912139908Orchard Park, NYPhysical Therapy Assistant

Profile Overview

NPI
1912139908
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
August 10, 2009
Last Updated
August 10, 2009

Practice Location

  • 250 Curley Dr
  • Orchard Park, NY 14127-3448

Phone: (716) 207-2717

Specialties

  • Physical Therapy Assistant (225200000X)
  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1912139908
Entity Type
Individual
Last Name
Maciuba
First Name
Ryan
Mailing Street Address
250 Curley Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3448
Mailing Country
US
Mailing Phone
(716) 207-2717
Practice Street Address
250 Curley Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-3448
Practice Country
US
Practice Phone
(716) 207-2717
Enumeration Date
August 10, 2009
Last Updated
August 10, 2009
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X), Physical Therapy Assistant (225200000X)