NPI 1083155246
Ivyrehab Sept, LLC
Practice location
- Address
- 1622 Timberwood Boulevard Suite 211, Charlottesville, VA 22911-7573
- Phone
- (434) 202-2830
- Fax
- (434) 529-8457
- Mailing address
- 1311 Mamaroneck Ave STE 140, White Plains, NY 10605-5224
Authorised official
- Name
- Michael Rucker
- Title
- Ceo
- Phone
- (631) 580-5200
Registered specialties (2)
Physical Therapist
Primary
Occupational Therapist
Registry record
- NPI
- 1083155246
- Entity type
- Organization
- NPI issued
- 20 Mar 2017
- Record last updated
- 12 Aug 2022
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.