| Organization Name: | OPALECKY PHYSICAL THERAPY SERVICES, PLLC |
| NPI Number: | 1679956288 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE BETH OPALECKY (OWNER) |
| Mailing Address: | 1965 Sweden Walker Rd Hilton |
| State: | NY US |
| Postal Code: | 144689729 |
| Phone Number: | 5855206067 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2015 |
| NPI Last Update Date: | 07/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 021988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |