Serc Rehabilitation Partners LLC

NPI #1356898886 in Oak Grove, Missouri

Provider Information

NPI Number: 1356898886
Entity Type: Organization
Organization Name: Serc Rehabilitation Partners LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 1, 2016
Last Updated: Jul 21, 2022

Practice Location

Address: 509 S BROADWAY
City: Oak Grove
State: Missouri
ZIP Code: 64075-9627
Phone: (816) 625-4967

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE OPERATIONS
Phone: (423) 238-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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