Individual provider · Type 1 NPI

James R. Wilkes Jr., ATC

Student in an Organized Health Care Education/Training Program · State College, PA

NPI number 1104201037 Active

Practice location

1518 N Allen St
State College, PA 16803-3013

Call (215) 512-0017 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRT005744 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104201037

James R. Wilkes Jr., ATC's National Provider Identifier is 1104201037, issued on Jul 21, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in State College, PA. The record was last updated on Jul 21, 2015.