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Organization

PREMERE REHAB LLC

Active
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Organization

PREMERE REHAB LLC

Active
Other names
Infinity Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY MCCOY (CREDENTIALING SPECIALIST)
(971) 224-2841
Entity
Organization

Contact information

Practice address
11015 STATE AVE, MARYSVILLE, WA 98271-7200
(360) 244-4180
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(035) 703-6655
(503) 570-9155

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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