| NPI | 1679912257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK FAILLA Owner/D PT 917-684-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01254100) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2014-10-02 |