Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Grandview, 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
11902 BLUE RIDGE EXT STE 11906B, GRANDVIEW, MO 64030-1100
(816) 298-6161
(816) 298-6423
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
06/06/2017
Last updated
06/06/2017
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