# RENEWAL MN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renewal Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376211540
- **Authorized official:** ELIEZER MEYSTEL (MANAGER)
- **Authorized official phone:** (847) 983-8750

## Contact information

- **Practice address:** 10300 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347-5100
- **Practice address phone:** (952) 444-5000
- **Mailing address:** 7358 N LINCOLN AVE STE 160, LINCOLNWOOD, IL 60712-1797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 09/02/2021
