Individual provider · Type 1 NPI
Thaddeus Earl Wilson, MD
Pediatric Rehabilitation Medicine Physician · Loma Linda, CA
Practice location
11406 Loma Linda Dr, Physical Medicine And Rehabilitation
Loma Linda, CA 92354-3711
Fax (909) 558-6212
Mailing address
11406 Loma Linda Drive, Physical Medicine And Rehabilitation
Loma Linda, CA 92354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Rehabilitation Medicine Physician Primary | 2081P0010X | A102261 (CA) |
Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…
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About NPI 1184839896
Thaddeus Earl Wilson, MD's National Provider Identifier is 1184839896, issued on May 14, 2007. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Loma Linda, CA. The record was last updated on Aug 15, 2014.