Graduated: 2020
NPI: 1841041514
Practice Locations (2)
COASTAL REHABILITATION INC
5585 N CROATAN HWY
KITTY HAWK, NC 279493996
2522611556
IVYREHAB SEPT, LLC
911 B ST, SUITE 102
CHESAPEAKE, VA 233242462
7575480014
Source: CMS National Downloadable File, September 2026.