person
Mr. Yutthana Tokijkla, ATP
Assistive Technology Supplier Rehabilitation Counselor in San Bernardino, California
NPI 1205108578

Yutthana Tokijkla is an Assistive Technology Supplier Rehabilitation Counselor based in San Bernardino, CA and is specialized in Assistive Technology Supplier. Yutthana Tokijkla practices in San Bernardino, CA and has the professional credentials of ATP. The NPI Number for Yutthana Tokijkla is 1205108578 and holds a License No. ATP4665 (California).

The current practice location address for Yutthana Tokijkla is 1972 Ginkgo St, San Bernardino, CA and can be reached out via phone at 909-289-5874. You can also correspond with Yutthana Tokijkla through the mailing address at 1972 GINKGO ST, SAN BERNARDINO, CA - 92407-2365 (mailing address contact number: 909-289-5874).

Location: 1972 Ginkgo St, San Bernardino, CA, 92407-2365
person
Provider Profile Details
NPI Number
1205108578
Provider Name
Yutthana Tokijkla
Credential
ATP
Provider Entity Type
Individual
Gender
Male
Address
1972 Ginkgo St, San Bernardino, CA, 92407-2365
Phone Number
909-289-5874
Fax Number
Provider Enumeration Date
02/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
941158 01 CA BUSINESS LICENSE
SR EH 102-178362 01 CA SELLERS PERMIT
institution
Provider Business Practice Location Address Details
Address
1972 Ginkgo St
City
State
Zip
92407-2365
Phone Number
909-289-5874
Fax Number
person
Provider Business Mailing Address Details
Address
1972 Ginkgo St
City
State
Zip
92407-2365
Phone Number
909-289-5874
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Counselor
Speciality
Assistive Technology Supplier
Taxonomy
License No.
ATP4665 (California)
Definition
Definition to come...
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