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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 PT, MS (VP COMMUNITY BASED SERVICES)
(360) 901-8111
Entity
Organization
Contact information
Practice address
300 LAKE AVE NE, LARGO, FL 33771-6605
(971) 364-0611
(971) 364-0610
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 255-4079
(888) 795-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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