Organization
ASCEND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAL M SHELANGOSKI (CFO)
(952) 283-2204
Entity
Organization
Contact information
Practice address
1660 HIGHWAY 100 S, SUITE 103, ST LOUIS PARK, MN 55416
(952) 292-5801
(952) 224-0991
Mailing address
1660 HIGHWAY 100 S, SUITE 103, ST LOUIS PARK, MN 55416
(952) 292-5801
(952) 224-0991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/02/2012
Last updated
07/02/2024
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