| Doctor Name: | MR. MATHEW J FAILLA |
| NPI Number: | 1235263591 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 07164 |
| Business Practice Address: | 053 Mckinly Lab Newark, DE - 19716 |
| Business Phone Number: | 3028318893 |
| Business Fax Number: | |
| Mailing Address: | 807 Village Cir, Apt C NEWARK |
| State: | DE |
| Postal Code: | 197134904 |
| Phone Number: | 3377649151 |
| Fax Number: | |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 01/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 07164 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |