Individual
KATHERINE VAN LOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 KAPPOCK ST APT 2G, BRONX, NY 10463-6425
(516) 242-2515
Mailing address
555 KAPPOCK ST APT 2G, BRONX, NY 10463-6425
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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