Individual provider · Type 1 NPI

Judith Wolf Ivan, OTR

Occupational Therapist · San Jose, CA

NPI number 1003805987 Active

Practice location

5998 Pilgrim Ave
San Jose, CA 95129-4729

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT 3233 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003805987

Judith Wolf Ivan, OTR's National Provider Identifier is 1003805987, issued on Oct 13, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.