Individual
COURTNEY L IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19284 COTTONWOOD DR STE 203, PARKER, CO 80138-3881
(207) 788-7365
(720) 294-0284
Mailing address
233 WATERSTONE TRL, CANTON, GA 30114-1257
(205) 215-6687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0008652
CO
225X00000X
Occupational Therapist
OT009261
GA
Other
Enumeration date
08/06/2024
Last updated
12/05/2024
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