Individual
MOIRA ANN DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
5722 66TH ST, MASPETH, NY 11378-2537
(917) 660-9677
Mailing address
5722 66TH ST, MASPETH, NY 11378-2537
(917) 660-9677
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002433
NY
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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