Graduated: 2023
NPI: 1093572778
Practice Locations (2)
IVYREHAB SEPT, LLC
10504 WAKEMAN DR
FREDERICKSBURG, VA 224078040
5403158249
TIDEWATER PHYSICAL THERAPY LLC
10518 SPOTSYLVANIA AVE, SUITE 100
FREDERICKSBURG, VA 224082693
5407105341
Source: CMS National Downloadable File, September 2026.