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Organization
THERAPEUTIC BRANCHES, P.C.
Active
Organization
THERAPEUTIC BRANCHES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNE BERG MS, CCC-SLP (PRESIDENT)
(219) 742-5951
Entity
Organization
Contact information
Practice address
10915 W 133RD AVE, CEDAR LAKE, IN 46303-9706
(219) 742-5951
(219) 374-5624
Mailing address
12845 PARRISH AVE, CEDAR LAKE, IN 46303-9298
(219) 742-5951
(219) 374-5624
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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