Meredith Casimiro, LCAT, R-DMT
Dance Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1184238222
StatusActive
Last updated in NPPESSep 5, 2020
Details
- NPI
- 1184238222
- Entity type
- Individual (NPI-1)
- Name
- Meredith Casimiro
- Credential
- LCAT, R-DMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2020
- Certification date
- Sep 2, 2020
- Last updated
- Sep 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225600000X | Dance Therapist | 002472 | NY | Yes |
Practice location
49 Wyckoff AveBrooklyn, NY 11237-8001
Phone 917-402-7338
Mailing address
49 Wyckoff AveBrooklyn, NY 11237-8001
Phone 917-402-7338
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