Organization
SERC OF HARRISONVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY A PURVIS PT (CLINIC DIRECTOR)
(816) 380-3344
Entity
Organization
Contact information
Practice address
815 WESTCHESTER AVE, HARRISONVILLE, MO 64701-1784
(816) 380-3344
(816) 380-3044
Mailing address
815 WESTCHESTER AVE, HARRISONVILLE, MO 64701-1784
(816) 380-3344
(816) 380-3044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02259
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37003017
BCBS
MO
Enumeration date
05/05/2006
Last updated
11/01/2012
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