Individual
GIANNINA MIXCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT-P
Contact information
Practice address
2089 3RD AVE, NEW YORK, NY 10029-2184
(212) 828-6118
Mailing address
2089 3RD AVE, NEW YORK, NY 10029-2184
(212) 828-6118
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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