Individual provider · Type 1 NPI

Richard Nathan Wilson

Rehabilitation Practitioner · Ceres, CA

NPI number 1417761404 Active

Practice location

2528 Leslie Ln
Ceres, CA 95307-2326

Call (209) 538-7331 Map

Specialties and licenses

TaxonomyCodeLicense
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.

13 other providers at this address

Other rehabilitation practitioner providers in Ceres

See all in Ceres →

About NPI 1417761404

Richard Nathan Wilson's National Provider Identifier is 1417761404, issued on Feb 3, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Ceres, CA. The record was last updated on Dec 23, 2025.