Individual
TIA HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-DMT, LCAT
Contact information
Practice address
2527 GLEBE AVE, BRONX, NY 10461-3109
(718) 904-4400
Mailing address
289 CONVENT AVE APT 43, NEW YORK, NY 10031-6320
(225) 505-9611
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002401
NY
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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