Organization
PREMERE REHAB, LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL PT (VP COMMUNITY BASED SERVICES)
(360) 901-8111
Entity
Organization
Contact information
Practice address
1100 N 6TH AVE, HASTINGS, NE 68901-4106
(402) 461-2815
(866) 728-9636
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/09/2013
Last updated
11/15/2021
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