Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Oak Grove, MO, SERC - Oak Grove, MO
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-7217
Entity
Organization
Contact information
Practice address
509 S BROADWAY, OAK GROVE, MO 64075-9627
(816) 625-4967
(816) 625-8376
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/01/2016
Last updated
07/21/2022
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