IndividualActive
Jessica Thomas
NPI 1619745114 · Dance Therapist · Brooklyn, NY
Provider details
- NPI number
- 1619745114
- Entity type
- Individual
- Primary specialty
- Dance TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 002801 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
105 Grand St
Brooklyn, NY 11249-4123
Phone: (470) 851-0466
Approximate (ZIP-level) locationGet directions
Mailing address
105 Grand St
Brooklyn, NY 11249-4123
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.