Individual
CAITLIN NORA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
1339 YORK AVE, NEW YORK, NY 10021-4707
(212) 628-2800
Mailing address
128 CATSKILL AVE, YONKERS, NY 10704-1919
(914) 262-4517
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002447-01
NY
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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