NPI | 1265093652 |
---|---|
Other Name | SERC - SEABROOK CENTER, KS |
Entity Type | Organization |
Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle Operations 423-238-2313 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
Enumeration Date | 2019-06-26 |
Last Update Date | 2019-06-26 |