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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)
(503) 496-5057
Entity
Organization
Contact information
Practice address
13707 DALLAS DR, HUDSON, FL 34667-7179
(727) 869-3533
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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