Organization
OPTAGE INC
Active
Other names
McKenna Crossing, Presbyterian Homes and Services Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LEIGH RUE (DIRECTOR OF REHABILITATION)
(651) 631-6415
Entity
Organization
Contact information
Practice address
13810 SHEPHERDS PATH NW, PRIOR LAKE, MN 55379-2455
(651) 631-6570
Mailing address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
(651) 631-6415
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
08/04/2023
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