Provider Demographics
NPI:1922320381
Name:WILKINS, ERIC D (PT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:D
Last Name:WILKINS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 WASHINGTON RD
Mailing Address - Street 2:BACK BUILDING -- UPPER FLOOR
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2957
Mailing Address - Country:US
Mailing Address - Phone:724-941-7070
Mailing Address - Fax:724-941-7033
Practice Address - Street 1:3540 WASHINGTON RD
Practice Address - Street 2:BACK BUILDING -- UPPER FLOOR
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2957
Practice Address - Country:US
Practice Address - Phone:724-941-7070
Practice Address - Fax:724-941-7033
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018359225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist