Provider Demographics
NPI:1235104290
Name:REHABILITATION DESIGNS INC
Entity Type:Organization
Organization Name:REHABILITATION DESIGNS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:651-690-3334
Mailing Address - Street 1:1932 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1645
Mailing Address - Country:US
Mailing Address - Phone:651-690-3334
Mailing Address - Fax:651-690-3236
Practice Address - Street 1:1932 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1645
Practice Address - Country:US
Practice Address - Phone:651-690-3334
Practice Address - Fax:651-690-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN642263200Medicaid
MN642263200Medicaid