# ACHIEVE SPORTMEDICINE REHAB

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

## Provider details

- **NPI number:** 1407108434
- **Authorized official:** MRS. EILEEN KRINGLE MCAULEY (PHYSICAL THERAPIST)
- **Authorized official phone:** (201) 891-0411

## Contact information

- **Practice address:** 668 WYCKOFF AVE, WYCKOFF, NJ 07481-1430
- **Practice address phone:** (201) 891-0411
- **Mailing address:** 668 WYCKOFF AVE, WYCKOFF, NJ 07481-1430
- **Mailing address phone:** (201) 891-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 40QA00327500 | NJ | Yes |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012