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Organization

PREMERE REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA A CANTRELL PT (DIRECTOR OF OUTPATIENT)
(360) 901-8111
Entity
Organization

Contact information

Practice address
1950 NW 192ND AVE, HILLSBORO, OR 97006-6514
(503) 726-0202
Mailing address
25117 SW PARKWAY, SUITE D, WILSONVILLE, OR 97070
(888) 757-3422

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
01/02/2013
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