Individual
IVY JEAN VILIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6065 MERIDIAN AVE STE 70, SAN JOSE, CA 95120-2772
(408) 927-0871
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
309922
CA
225100000X
Physical Therapist
CP025331T
AZ
225100000X
Physical Therapist
CP036767T
VA
225100000X
Physical Therapist
P22174
NC
Other
Enumeration date
06/14/2023
Last updated
05/05/2026
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