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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 (DIRECTOR OF REHAB)
(360) 901-8111
Entity
Organization
Contact information
Practice address
11613 SE 7TH ST, VANCOUVER, WA 98683-5265
(360) 545-3984
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
(888) 795-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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