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Organization
PREMERE REHAB LLC
Active
Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL (VP COMMUNITY BASED SERVICES)
(360) 901-8111
Entity
Organization
Contact information
Practice address
900 UNIVERSITY ST, SEATTLE, WA 98101-2797
(206) 382-3173
(866) 556-7521
Mailing address
25117 SW PARKWAY, SUITE D, WILSONVILLE, OR 97070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506577
PTAN
WA
Enumeration date
02/07/2011
Last updated
11/15/2021
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