Organization
PREMERE REHAB LLC
Active
Other names
Rock of Ages
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A. CANTRELL (DIRECTOR OF OUTPATIENT)
(360) 901-8111
Entity
Organization
Contact information
Practice address
15600 SW ROCK OF AGES RD, MCMINNVILLE, OR 97128-8531
(503) 472-6212
Mailing address
25117 SW PARKWAY, SUITE D, WILSONVILLE, OR 97070
(888) 757-3422
(877) 282-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/11/2010
Last updated
02/08/2012
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