Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew David Wilson, RADT

Individual provider Rehabilitation Practitioner · NPI 1326867136

Matthew David Wilson, RADT is a Rehabilitation Practitioner in Van Nuys, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

14515 Hamlin St Ste 100
Van Nuys, CA 91411-1694
Phone: (206) 902-0769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence R1462230322 (CA)

Record details

NPI number1326867136
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorYes
NPI enumeratedOctober 8, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing addressPo Box 1554, Venice, CA 90294-1554

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