# ACHIEVE SPORTS MEDICINE & REHAB, LLC

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

## Provider details

- **NPI number:** 1912958083
- **Authorized official:** CARLA DIFELICE (CO-OWNER)
- **Authorized official phone:** (201) 493-7440

## Contact information

- **Practice address:** 168 FRANKLIN TURNPIKE, SUITE 103B, WALDWICK, NJ 07463
- **Practice address phone:** (201) 493-7440
- **Practice address fax:** (201) 493-7445
- **Mailing address:** 491 EISENHOWER COURT, WYCKOFF, NJ 07481
- **Mailing address phone:** (201) 847-0881

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 12/10/2013