# FRANK FAILLA PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1679912257
- **Authorized official:** MR. FRANK FAILLA DPT (OWNER/DPT)
- **Authorized official phone:** (917) 684-9789

## Contact information

- **Practice address:** 623 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2439
- **Practice address phone:** (917) 684-9789
- **Practice address fax:** (877) 642-1441
- **Mailing address:** 15 THE CRESCENT, UNIT 5, MONTCLAIR, NJ 07042-2664
- **Mailing address phone:** (917) 684-9789
- **Mailing address fax:** (877) 642-1441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01254100 | NJ | — |
| 225100000X | Physical Therapist | — | NJ | Yes |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 10/02/2014