Organization
ACHIEVE SPORTS MEDICINE & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA DIFELICE (CO-OWNER)
(201) 493-7440
Entity
Organization
Contact information
Practice address
168 FRANKLIN TURNPIKE, SUITE 103B, WALDWICK, NJ 07463
(201) 493-7440
(201) 493-7445
Mailing address
491 EISENHOWER COURT, WYCKOFF, NJ 07481
(201) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
05/13/2006
Last updated
12/10/2013
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