Individual
MATHEW A WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12052 IMPERIAL HWY STE 204, NORWALK, CA 90650-3092
(310) 892-5812
Mailing address
15436 LA MIRADA BLVD # HH210, LA MIRADA, CA 90638-5061
(562) 481-9484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
6094
CA
Other
Enumeration date
08/17/2021
Last updated
08/24/2025
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