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Organization
IVYREHAB NETWORK INC.
Active
Organization
IVYREHAB NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUCKER (CEO)
(914) 777-8700
Entity
Organization
Contact information
Practice address
79 HUDSON ST, HOBOKEN, NJ 07030-5602
(201) 792-1170
(201) 792-1171
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NJ
Other
Enumeration date
05/22/2006
Last updated
08/12/2022
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