Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL (INSURANCE AND CREDENTIALING)
(971) 224-2037
Entity
Organization
Contact information
Practice address
224 S ARTHUR AVE, POCATELLO, ID 83204-3202
(971) 224-2037
(866) 398-3372
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(971) 224-2037
(866) 398-3372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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