Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MCCOY-PATTERSON (CREDENTIALING SPECIALISTS)
(503) 496-5057
Entity
Organization
Contact information
Practice address
470 MAXWELL PLZ, OMAHA, NE 68154-2903
(402) 235-4446
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 496-5057
(888) 795-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/04/2022
Last updated
03/07/2022
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