NPI 1114421922
Serc Rehabilitation Partners LLC
Practice location
- Address
- 1261 N Steamboat Dr STE 2, Fayetteville, AR 72704-6262
- Phone
- (479) 313-6591
- Fax
- (479) 313-7650
- Mailing address
- 6397 Lee Hwy STE 300, Chattanooga, TN 37421-2564
Authorised official
- Name
- Kevin Johanneson
- Title
- Vp Revenue Cycle Operations
- Phone
- (423) 238-2313
Registered specialties (2)
Physical Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1114421922
- Entity type
- Organization
- NPI issued
- 19 Mar 2018
- Record last updated
- 19 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.