Individual
MR. MATHEW J FAILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
053 MCKINLY LAB, NEWARK, DE 19716
(302) 831-8893
Mailing address
807 VILLAGE CIR, APT C, NEWARK, DE 19713-4904
(337) 764-9151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
07164
LA
2251S0007X
Sports Physical Therapist
Primary
J1-0002660
DE
Other
Enumeration date
03/16/2007
Last updated
01/10/2011
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