Graduated: 2021
NPI: 1730754623
Practice Locations (2)
SOUTHEASTERN PHYSICAL THERAPY, LLC
19 WESTRIDGE MARKET PL
CANDLER, NC 287159174
8286336287
IVYREHAB NORTH CAROLINA LLC
836 E KING ST
KINGS MOUNTAIN, NC 280863187
7047395995
Source: CMS National Downloadable File, September 2026.