Premere Rehab LLC

NPI #1699073437 in Pocatello, Idaho

Provider Information

NPI Number: 1699073437
Entity Type: Organization
Organization Name: Premere Rehab LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 2, 2011
Last Updated: Mar 2, 2011

Practice Location

Address: 224 S ARTHUR AVE
City: Pocatello
State: Idaho
ZIP Code: 83204-3202
Phone: (971) 224-2037

Authorized Official

Name: LAURA CANTRELL
Title: INSURANCE AND CREDENTIALING
Phone: (971) 224-2037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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