Individual provider · Type 1 NPI
Tanapol Vikitsreth
Developmental Therapist · Urbana, IL
Practice location
700 S Gregory St Apt 501
Urbana, IL 61801-3785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1255756839
Tanapol Vikitsreth's National Provider Identifier is 1255756839, issued on Feb 19, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Urbana, IL. The record was last updated on Feb 19, 2014.