Individual
MELISSA TIBAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAT, R-DMT
Contact information
Practice address
545 39TH ST APT 405, UNION CITY, NJ 07087-8055
(917) 361-3331
Mailing address
545 39TH ST APT 405, UNION CITY, NJ 07087-8055
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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