Individual
NICOLE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BC-DMT, LCAT
Contact information
Practice address
135 WEAVER RD, WEST SAYVILLE, NY 11796-1020
(516) 761-5680
Mailing address
135 WEAVER RD, WEST SAYVILLE, NY 11796-1020
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002720
NY
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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