Organization Name: | STEP AHEAD THERAPY OF ROSEAU INC. |
NPI Number: | 1487022380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY OLSON (OWNER) |
Mailing Address: | 625 Snelling Ave S Saint Paul |
State: | MN US |
Postal Code: | 551161529 |
Phone Number: | 6516694169 |
Fax Number: | 6514937446 |
NPI Enumeration Date: | 09/09/2015 |
NPI Last Update Date: | 09/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |