Organization
SOMA CREATIVE ARTS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA MARIA FORT LCAT (OWNER)
(518) 331-5459
Entity
Organization
Contact information
Practice address
280 SOPER ROAD, ULSTER PARK, NY 12487-5351
(518) 331-5459
Mailing address
280 SOPER ROAD, ULSTER PARK, NY 12487-5351
(518) 331-5459
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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