IndividualActive
Jessica Gaworecki, LCAT
NPI 1235795519 · Dance Therapist · Manlius, NY
Provider details
- NPI number
- 1235795519
- Entity type
- Individual
- Primary specialty
- Dance TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LCAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- R-DMT-2359
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8219 Market Pl
Manlius, NY 13104-9821
Phone: (315) 720-3296
Approximate (ZIP-level) locationGet directions
Mailing address
8528 E Genesee St
Fayetteville, NY 13066-9649
Registry dates
- Enumerated
- 2019-05-13
- Last updated
- 2024-04-27
- Certified
- 2024-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.