Provider Demographics
NPI:1942963269
Name:CENTRE REHAB PC
Entity Type:Organization
Organization Name:CENTRE REHAB PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAHR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:320-293-3724
Mailing Address - Street 1:38354 US HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378-8430
Mailing Address - Country:US
Mailing Address - Phone:320-293-3724
Mailing Address - Fax:
Practice Address - Street 1:308 OAK ST S STE 101
Practice Address - Street 2:
Practice Address - City:SAUK CENTRE
Practice Address - State:MN
Practice Address - Zip Code:56378-1565
Practice Address - Country:US
Practice Address - Phone:320-351-4075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy