Organization
OPTAGE INC
Active
Other names
SummerWood of Chanhassen, 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
525 LAKE DR, CHANHASSEN, MN 55317-8364
(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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