MS. Ivy Joan Medow, COTA/L, CRC

NPI #1972881266 in Florence, Oregon

Provider Information

NPI Number: 1972881266
Entity Type: Individual
Name: MS. Ivy Joan Medow, COTA/L, CRC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: COTA/L, CRC
Enumeration Date: Aug 3, 2011
Last Updated: Oct 16, 2025

Practice Location

Address: 1657 36TH ST
City: Florence
State: Oregon
ZIP Code: 97439-8922
Phone: (480) 837-4565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Massage Therapist	225700000X

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