Provider Demographics
NPI:1487619953
Name:WILKINS, ARDEN A (MSPT)
Entity type:Individual
Prefix:MR
First Name:ARDEN
Middle Name:A
Last Name:WILKINS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 LOCKWOOD DR
Mailing Address - Street 2:SUITE 190
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1556
Mailing Address - Country:US
Mailing Address - Phone:301-593-8668
Mailing Address - Fax:301-593-5269
Practice Address - Street 1:344 UNIVERSITY BLVD W
Practice Address - Street 2:SUITE 210
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1948
Practice Address - Country:US
Practice Address - Phone:301-593-8668
Practice Address - Fax:301-593-5269
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P97181Medicare UPIN
G01308Medicare ID - Type Unspecified