Organization
SERC OF JOHNSON COUNTY LLC
Active
Other names
SERC of Olathe; SERC of Shawnee
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN S STONE MPT (CLINIC DIRECTOR)
(913) 782-7734
Entity
Organization
Contact information
Practice address
801 N MUR LEN RD, SUITE 111, OLATHE, KS 66062-1794
(913) 782-7734
(913) 782-7209
Mailing address
801 N MUR LEN RD, SUITE 111, OLATHE, KS 66062-1794
(913) 782-7734
(913) 782-7209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02758
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34414021
BCBS
KS
Enumeration date
05/05/2006
Last updated
11/01/2012
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