Ivyrehab Sept, LLC

NPI #1093194193 in Virginia Beach, Virginia

Provider Information

NPI Number: 1093194193
Entity Type: Organization
Organization Name: Ivyrehab Sept, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 21, 2015
Last Updated: Nov 20, 2017

Practice Location

Address: 4668 PEMBROKE BLVD
Address 2: SUITE 115
City: Virginia Beach
State: Virginia
ZIP Code: 23455-6423
Phone: (757) 648-8562

Authorized Official

Name: MR. KENNETH MILES
Title: EVP & CFO
Phone: (914) 777-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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