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Organization

PRAIRIE REHABILITATION SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE GLASOE OTR/L, CHT (ADMINISTRATOR)
(605) 334-5630
Entity
Organization

Contact information

Practice address
816 3RD ST, JACKSON, MN 56143-1746
(507) 847-4333
(507) 847-4974
Mailing address
816 3RD ST, JACKSON, MN 56143-1746
(507) 847-4333
(507) 847-4974

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/02/2006
Last updated
08/22/2020
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