# FORT LEE REHABILITATION

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

## Provider details

- **NPI number:** 1093075160
- **Authorized official:** DR. ANDREW MARK RODGERS DC (OWNER/PHYSICIAN)
- **Authorized official phone:** (201) 592-6200

## Contact information

- **Practice address:** 530 MAIN ST, SUITE 3, FORT LEE, NJ 07024-4506
- **Practice address phone:** (201) 592-6200
- **Practice address fax:** (201) 592-6401
- **Mailing address:** 530 MAIN ST, SUITE 3, FORT LEE, NJ 07024-4506
- **Mailing address phone:** (201) 592-6200
- **Mailing address fax:** (201) 592-6401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | NJMCO1411 | NJ | Yes |

## Other

- **Enumeration date:** 05/23/2012
- **Last updated:** 05/23/2012