Organization
SERC REHABILITATION PARTNERS, LLC
Active
Other names
SERC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-8923
Entity
Organization
Contact information
Practice address
13847 W 63RD ST STE 2, SHAWNEE, KS 66216-3800
(913) 962-7770
(913) 962-7775
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(423) 238-8923
(423) 954-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
09/29/2017
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