James Sanford Wilson, CCAPP
Rehabilitation Practitioner in Whittier, CA. Individual provider (NPI-1).
NPI number1861604662
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1861604662
- Entity type
- Individual (NPI-1)
- Name
- James Sanford Wilson
- Credential
- CCAPP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2007
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | Aii6561214 | CA | Yes |
| 172V00000X | Community Health Worker | Aii6561214 | CA |
Practice location
7348 Painter Ave.Whittier, CA 90602
Phone 562-236-2090 · Fax 562-236-2091
Mailing address
7348 Painter Ave.Whittier, CA 90602
Phone 562-236-2090 · Fax 562-236-2091
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