Most Relevant Information
Provider Data
| NPI Number: | 1003805987 |
| Provider Name: | JUDITH WOLF IVAN OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT 3233 |
Most Important Dates
| Enumeration Date: | 10/13/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5998 PILGRIM AVE
SAN JOSE
CA
951294729
Practice Location Phone/Fax
| Phone: | 4082529086 |
| Fax: |
Provider Mailing Location
5998 PILGRIM AVE
SAN JOSE
CA
951294729
Provider Mailing Phone/Fax
| Phone: | 4082529086 |
| Fax: |