Organization
PREMERE REHAB LLC
Active
Parent organization
PREMERE REHAB LLC
Other names
Infinity Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMERE REHAB LLC
Authorized official
LAURA CANTRELL (VP OF COMMUNITY BASED SERVICES)
(360) 901-8111
Entity
Organization
Contact information
Practice address
18170 N 91ST AVE, PEORIA, AZ 85382-0866
(623) 974-5848
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(035) 703-6655
(503) 570-9155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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