Organization
IVYREHAB SEPT, LLC
Active
Organization
IVYREHAB SEPT, LLC
Active
Other names
Spectrum Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUCKER (CEO)
(914) 777-8700
Entity
Organization
Contact information
Practice address
16260 BENNETT RD, CULPEPER, VA 22701-4630
(540) 727-0737
(540) 727-0738
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
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/22/2016
Last updated
08/12/2022
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