IndividualActive
Marissa Ballinger, LCAT
NPI 1174202964 · Dance Therapist · New York, NY
Provider details
- NPI number
- 1174202964
- Entity type
- Individual
- Primary specialty
- Dance TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LCAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 002753-01 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
85 4th Ave Apt 2j
New York, NY 10003-5218
Phone: (919) 815-6680
Approximate (ZIP-level) locationGet directions
Mailing address
85 4th Ave Apt 2j
New York, NY 10003-5218
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.