Individual
MS. CAROLYN MARIE KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC
Contact information
Practice address
220 SHAWMONT AVE, BARN, PHILADELPHIA, PA 19128-4204
(410) 279-7722
Mailing address
220 SHAWMONT AVE, BARN, PHILADELPHIA, PA 19128-4204
(410) 279-7722
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
09163
PA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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