Graduated: 1988
NPI: 1255385464
Practice Locations (2)
IVYREHAB NORTH CAROLINA LLC
9216 ARDREY KELL RD, SUITE 300
CHARLOTTE, NC 282774954
9805567330
IVYREHAB NORTH CAROLINA LLC
3916 E FRANKLIN BLVD, SUITE 100
GASTONIA, NC 280569221
7048624899
Source: CMS National Downloadable File, September 2026.