Organization
SERC REHABILITATION PARTNERS LLC
Active
Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Fayetteville East, AR
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-2313
Entity
Organization
Contact information
Practice address
2607 E MISSION BLVD STE 3, FAYETTEVILLE, AR 72703-3260
(479) 435-9227
(479) 435-9353
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/04/2020
Last updated
03/18/2020
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