Prairie Rehabilitation Services, INC

NPI #1912611773 in Lakefield, Minnesota

Provider Information

NPI Number: 1912611773
Entity Type: Organization
Organization Name: Prairie Rehabilitation Services, INC
Subpart: Yes (part of a larger organization)
Parent Organization: PRAIRIE REHABILITATION SERVICES, INC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 6, 2023
Last Updated: Jan 6, 2023

Practice Location

Address: 403 COLONIAL AVE
City: Lakefield
State: Minnesota
ZIP Code: 56150-9573
Phone: (507) 662-6646

Authorized Official

Name: LEE S GLASOE
Title: ADMINISTRATOR
Phone: (605) 334-5630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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