Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1144840901 |
| LBN Legal business name | HER THERAPY SPACE PLLC |
| Authorized official | KRISTIN WINCHESTER - (FOUNDER/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/22/2020 |
| Last updated | 04/22/2020 - About 6 years ago |
| Identifiers | n/a |
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HER THERAPY SPACE PLLC
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