Organization
PREMERE REHAB LLC
Active
Other names
Infinity Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CANTRELL PT (DIRECTOR OF REHAB)
(360) 901-8111
Entity
Organization
Contact information
Practice address
14404 SE WEBSTER RD, MILWAUKIE, OR 97267-1965
(503) 446-4223
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
(877) 282-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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