Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Springdale Downtown, 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
101 E EMMA AVE, SPRINGDALE, AR 72764-4623
(479) 334-5616
(479) 334-5617
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
11/14/2019
Last updated
11/14/2019
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