Graduated: 2022
NPI: 1699475681
Practice Locations (2)
IVYREHAB NORTH CAROLINA LLC
836 E KING ST
KINGS MOUNTAIN, NC 280863187
7047395995
SILVER FERN PRACTICE LLC
1401 DOUGLAS AVE
NORTH PROVIDENCE, RI 029044058
4014354540
Source: CMS National Downloadable File, September 2026.