Provider Demographics
NPI:1932916111
Name:LAMONT REHABILITATION LLC
Entity type:Organization
Organization Name:LAMONT REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:LEVI
Authorized Official - Last Name:LAMONT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:971-241-0528
Mailing Address - Street 1:146 24TH ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4423
Mailing Address - Country:US
Mailing Address - Phone:971-241-0528
Mailing Address - Fax:
Practice Address - Street 1:146 24TH ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4423
Practice Address - Country:US
Practice Address - Phone:971-241-0528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty