Individual
JOSHUA TAIT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
19010 CASTLEBAY LN, NORTHRIDGE, CA 91326-1005
(818) 831-5492
Mailing address
19010 CASTLEBAY LN, NORTHRIDGE, CA 91326-1005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4436
CA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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