Tanapol Vikitsreth

NPI #1255756839 in Urbana, Illinois

Provider Information

NPI Number
1255756839
Entity Type
Individual
Name
Tanapol Vikitsreth
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Feb 19, 2014
Last Updated
Feb 19, 2014

Practice Location

Address
700 S GREGORY ST APT 501
City
Urbana
ZIP Code
61801-3785
Phone
(217) 898-0595

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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