Organization
REHABILITATION SERVICES OF GOLDEN VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID OLSHANSKY (SHAREHOLDER)
(612) 986-2084
Entity
Organization
Contact information
Practice address
800 BOONE AVE N, GOLDEN VALLEY, MN 55427-4468
(612) 986-2084
Mailing address
800 BOONE AVE N, GOLDEN VALLEY, MN 55427-4468
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9453
MN
261QR0400X
Rehabilitation Clinic/Center
9453
MN
Other
Enumeration date
11/26/2014
Last updated
12/01/2014
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