Individual provider · Type 1 NPI

Antoinette R. Wilson-Edwards

Rehabilitation Practitioner · Fairfield, CA

NPI number 1104562735 Active

Practice location

480 Chadbourne Rd
Fairfield, CA 94534-9639

Call (707) 429-4440 Map

Other practice locations

  • 1234 Empire St, Fairfield, CA 94533-5711 · (707) 432-8549

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1104562735

Antoinette R. Wilson-Edwards's National Provider Identifier is 1104562735, issued on May 6, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 11, 2025.