Organization
OPTAGE INC
Active
Other names
Presbyterian Homes and Services Rehabilitation, Eaglecrest
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY RUE (DIRECTOR OF REHABILITATION)
(651) 631-6415
Entity
Organization
Contact information
Practice address
2945 LINCOLN DR, ROSEVILLE, MN 55113-1338
(651) 631-5415
Mailing address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
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
09/05/2022
Last updated
07/11/2023
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