Organization
SERC REHABILITATION 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
3747 SW RAINTREE DR, LEES SUMMIT, MO 64082-4606
(816) 537-5650
(816) 537-5649
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
10/09/2017
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