Tanapol Vikitsreth
Tanapol Vikitsreth is a Developmental Therapist in Urbana, Illinois. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
700 S Gregory St Apt 501Urbana, IL 61801-3785
Phone: (217) 898-0595
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1255756839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2014 |
| Last updated in NPPES | February 19, 2014 |
| Mailing address | 700 S Gregory St Apt 501, Urbana, IL 61801-3785 |
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