Mrs. Judith Wolf Ivan
Occupational Therapist
5998 Pilgrim Ave
San Jose
, California 95129-4729
Mrs. Judith Wolf Ivan
Occupational Therapist
5998 Pilgrim Ave
San Jose
, California 95129-4729
(408) 252-9086
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mrs. Judith Wolf Ivan
- 5998 Pilgrim Ave
- San Jose, CA
- Zip : 95129-4729
- Phone : (408) 252-9086
Second Address
- Mrs. Judith Wolf Ivan
- 5998 Pilgrim Ave
- San Jose, CA
- Zip : 95129-4729
- Phone : (408) 252-9086
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT 3233 | CA |
National Provider Identifier
| NPI | 1003805987 |
|---|---|
| Provider Name | Mrs. Judith Wolf Ivan |
| First Address | San Jose, CA 95129-4729 |
| Second Address | San Jose, CA 95129-4729 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.