# FAIR LAWN SPINE & JOINT REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316408537
- **Authorized official:** MR. JOHN E CINTINEO DC, DAAMLP (OWNER)
- **Authorized official phone:** (201) 796-7772

## Contact information

- **Practice address:** 19-21 FAIR LAWN AVE STE 1C, FAIR LAWN, NJ 07410-2337
- **Practice address phone:** (201) 796-7772
- **Mailing address:** 19-21 FAIR LAWN AVE STE 1C, FAIR LAWN, NJ 07410-2337
- **Mailing address phone:** (201) 796-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 03/29/2019