Individual
LAURA HETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S 4TH ST STE 472, PHILADELPHIA, PA 19147-1582
(267) 214-6416
Mailing address
525 S 4TH ST STE 472, PHILADELPHIA, PA 19147-1582
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
09/09/2023
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