Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL PT (REGIONAL DIRECTOR OF OUTPATIENT OP)
(360) 901-8111
Entity
Organization
Contact information
Practice address
INFINITY REHAB - INFINITY AT HOME, 25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(971) 364-0611
(971) 364-0619
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 255-4079
(888) 795-0947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/26/2021
Last updated
03/02/2021
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