Graduated: 2003
NPI: 1962993527
Practice Locations (2)
IVYREHAB SEPT, LLC
2076 S INDEPENDENCE BLVD, SUITE A
VIRGINIA BEACH, VA 234534773
7573024144
CORTEX INITIATIVE LLC
309 ARAGONA BLVD, SUITE 107 108
VIRGINIA BEACH, VA 234622700
7577808146
Source: CMS National Downloadable File, September 2026.