Individual provider · Type 1 NPI

Matthew David Wilson, RADT

Rehabilitation Practitioner · Van Nuys, CA

NPI number 1326867136 Active

Practice location

14515 Hamlin St Ste 100
Van Nuys, CA 91411-1694

Mailing address

PO Box 1554
Venice, CA 90294-1554

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XR1462230322 (CA)

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 1326867136

Matthew David Wilson, RADT's National Provider Identifier is 1326867136, issued on Oct 8, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Van Nuys, CA. The record was last updated on Oct 8, 2024.