# NL REHAB & PERFORMANCE, LLC

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

## Provider details

- **NPI number:** 1548769706
- **Authorized official:** MRS. COLEEN TOMLINSON (CREDENTIALING MANAGER)
- **Authorized official phone:** (516) 771-7554

## Contact information

- **Practice address:** 123 BROADWAY, WOODCLIFF LAKE, NJ 07677-8091
- **Practice address phone:** (201) 746-9966
- **Practice address fax:** (866) 676-0079
- **Mailing address:** 123 BROADWAY, WOODCLIFF LAKE, NJ 07677-8091
- **Mailing address phone:** (201) 746-9966
- **Mailing address fax:** (866) 676-0079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 40QA009832 | NJ | Yes |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 02/02/2018