NPI 1295090066

Katrina Nicole David Rubio, MARDMT

Practitioner Dance Therapist Jamaica Plain, MA

Practice location

Address: 555 Amory St, Jamaica Plain, MA 02130-2652
Phone: (617) 383-6522
Fax: (617) 383-6520

Registered specialties

Dance Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225600000X Licence R-DMT-1782 (MA)

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Registry record

NPI: 1295090066
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2012
Record last updated: 9 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.