Mrs Judith Wolf Ivan, OTR | |
5998 Pilgrim Ave, San Jose, CA 95129-4729 | |
(408) 252-9086 | |
Not Available |
Full Name | Mrs Judith Wolf Ivan |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 5998 Pilgrim Ave, San Jose, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003805987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT 3233 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Judith Wolf Ivan, OTR 5998 Pilgrim Ave, San Jose, CA 95129-4729 Ph: (408) 252-9086 | Mrs Judith Wolf Ivan, OTR 5998 Pilgrim Ave, San Jose, CA 95129-4729 Ph: (408) 252-9086 |
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