Organization
PREMERE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL PT (DIRECTOR OF OUTPATIENT)
(360) 901-8111
Entity
Organization
Contact information
Practice address
695 ORCHARD HEIGHTS RD NW, SALEM, OR 97304-3100
(503) 566-9052
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
03/21/2013
Last updated
03/21/2013
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