Organization
SERC REBABILITATION PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
101 W 92 HWY STE H, KEARNEY, MO 64060-7591
(816) 903-0777
(816) 903-0776
Mailing address
6397 LEE HWY # 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/15/2013
Last updated
11/01/2017
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