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Premere Rehab, LLC

Physical Therapist in Gresham, OR. Organization (NPI-2).

NPI number1982114666
StatusActive
Last updated in NPPESOct 6, 2017

Details

NPI
1982114666
Entity type
Organization (NPI-2)
Legal business name
Premere Rehab, LLC
Organization subpart
No
Enumeration date
Oct 6, 2017
Last updated
Oct 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Other names

  • Infinity Rehab (Doing Business As)

Practice location

1410 Ne Cleveland Ave
Gresham, OR 97030-4283

Phone 503-465-1404

Mailing address

25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697

Phone 971-224-2040 · Fax 888-795-0947

Authorized official

Laura Cantrell
Regional Director Of Outpatient Ops
3609018111

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