Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL (REGIONAL DIRECTOR OF REHAB)
(360) 901-8111
Entity
Organization
Contact information
Practice address
1415 N SAN BENITO DR, GILBERT, AZ 85234-2490
(480) 842-5541
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
(503) 570-9155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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