Organization · Type 2 NPI

B. Gale Wilson Mtu

Rehabilitation Clinic/Center · Fairfield, CA

NPI number 1699401018 Active

Practice location

3305 Cherry Hills Ct
Fairfield, CA 94534-7870

Call (707) 784-8650 Map

Fax (707) 421-7484

Mailing address

275 Beck Ave # Ms 5-175
Fairfield, CA 94533-6804

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XNone listed

Rehabilitation Clinic/Center: Definition to come...

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About NPI 1699401018

B. Gale Wilson Mtu's National Provider Identifier is 1699401018, issued on Jul 27, 2022. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Fairfield, CA. The record was last updated on Jul 27, 2022.