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Organization
OPTAGE INC
Active
Organization
OPTAGE INC
Active
Other names
Presbyterian Homes and Services Rehabilitation, Eaglecrest
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RUE (DIRECTOR OF REHABILITATION)
(651) 631-6415
Entity
Organization
Contact information
Practice address
2945 LINCOLN DR, ROSEVILLE, MN 55113-1338
(651) 631-5415
Mailing address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/05/2022
Last updated
07/11/2023
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