Organization
STEP AHEAD PEDIATRIC REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE RAE SKOKAN MACCCSLP CEO (SPEECH-LANGUAGE PATHOLOGIST OWNER)
(651) 554-9940
Entity
Organization
Contact information
Practice address
5695 BLAINE AVE, INVER GROVE HEIGHTS, MN 55076-1619
(651) 554-9940
(651) 554-9941
Mailing address
5695 BLAINE AVE, INVER GROVE HEIGHTS, MN 55076-1619
(651) 554-9940
(651) 554-9941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
201297
MN
225XP0200X
Pediatric Occupational Therapist
103226
MN
235Z00000X
Speech-Language Pathologist
7330
MN
235Z00000X
Speech-Language Pathologist
Primary
7974
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600617
MEDICA
MN
01
—
89G71ST
OCC THERAPY GROUP CODE
MN
01
—
89G72STL
SPEECH THERAPY GROUP CODE
MN
Enumeration date
09/13/2006
Last updated
09/11/2025
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