Graduated: 2015
NPI: 1679951149
Practice Locations (2)
SPORT MEDICINE AND ORTHOPAEDIC CENTER INC
501 DISCOVERY DR, SUITE 100
CHESAPEAKE, VA 233203832
75754751453502
IVYREHAB SEPT, LLC
150 BURNETTS WAY, SUITE 230
SUFFOLK, VA 234348168
7579422022
Source: CMS National Downloadable File, September 2026.