Individual
MR. JUSTIN CARL WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
320 ELM ST, BENNINGTON, VT 05201
(802) 375-3693
Mailing address
320 ELM ST, BENNINGTON, VT 05201-2211
(802) 375-3693
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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