Organization
IVYREHAB FOCUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUCKER (CEO)
(914) 777-8700
Entity
Organization
Contact information
Practice address
439 CHANNEL RD STE 102, LAKE WYLIE, SC 29710-6101
(803) 746-7800
(803) 746-7807
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
08/12/2022
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