Ivyrehab Sept, LLC

NPI #1235356155 in Virginia Beach, Virginia

Provider Information

NPI Number: 1235356155
Entity Type: Organization
Organization Name: Ivyrehab Sept, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 20, 2007
Last Updated: Nov 20, 2017

Practice Location

Address: 1157 FIRST COLONIAL RD
Address 2: SUTE 201
City: Virginia Beach
State: Virginia
ZIP Code: 23454-2432
Phone: (757) 481-0052

Authorized Official

Name: MR. KENNETH MILES
Title: EVP & CFO
Phone: (631) 580-5200

Specialties & Taxonomy Codes

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

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