| Amy Marie Rose, OTR/L | |
| 
					3915 Golden Valley Rd, Golden Valley, MN 55422-4249  | |
| (763) 588-0811 | |
| Not Available | 
| Full Name | Amy Marie Rose | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist | 
| Location | 3915 Golden Valley Rd, Golden Valley, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942406517 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | 103950 (Minnesota) | Primary | 
| Provider Name | Powerback Rehabilitation Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1013498914 PECOS PAC ID: 2365359932 Enrollment ID: O20181204002105  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amy Marie Rose, OTR/L 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 Ph: (763) 588-0811  | Amy Marie Rose, OTR/L 3915 Golden Valley Rd, Golden Valley, MN 55422-4249 Ph: (763) 588-0811  | 
Monica L Mommsen, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422 Phone: 763-588-0811 Fax: 763-520-0355  | |
Caryn Faith Erickson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Country Club Dr, Struthers Parkinsons Center, Golden Valley, MN 55427 Phone: 952-993-5495  | |
Molly Peterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6900  | |
Megan Anderson,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902 Fax: 763-545-2016  | |
Lee Ann Mae Mateffy, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422 Phone: 763-520-0431 Fax: 763-520-0355  | |
Dr. Stephanie Nga Frager, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902  | |
Megan Metelak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902  |