Individual provider · Type 1 NPI

Rudolph Wilson

Rehabilitation Practitioner · San Francisco, CA

NPI number 1619291390 Active

Practice location

982 Mission St
San Francisco, CA 94103-2911

Call (415) 489-7306 Map

Fax (415) 861-0257

Mailing address

1263 Mission St
San Francisco, CA 94103-2705

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Rehabilitation Practitioner Primary	225400000X	None 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 1619291390

Rudolph Wilson's National Provider Identifier is 1619291390, issued on Mar 24, 2010. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Francisco, CA. The record was last updated on Aug 29, 2025.