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SERC HAND REHABILITATION SOUTH LLC NPI 1912956079


NPI Information

NPI: 1912956079
Provider Name: SERC HAND REHABILITATION SOUTH LLC
Classification: Occupational Therapist - 225XH1200X
Entity Type: Organization

Specialization: Hand

Address:
7211 W 110TH ST
OVERLAND PARK, KS
ZIP 66210
Phone: (913) 451-7372
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SERC HAND REHABILITATION SOUTH LLC is a hand occupational therapist in Overland Park, KS. SERC HAND REHABILITATION SOUTH LLC NPI is 1912956079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7211 W 110TH ST
OVERLAND PARK, KS
ZIP 66210-339
Phone: (913) 451-7372
Fax: (913) 451-7375

The provider's authorized official is Laurie A Reed .
The authorized official title is Clinic Director and has the following contact phone number (913) 451-7372.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 11/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XH1200XOccupational TherapistHand17-00153KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134418024OTHERKANSASBCBS
2Q940000MEDICARE PINKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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