Organization
BRANCH OUT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA L COOK MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(614) 382-6460
Entity
Organization
Contact information
Practice address
270 WESTWOOD RD, COLUMBUS, OH 43214-3043
(614) 382-6460
Mailing address
270 WESTWOOD RD, COLUMBUS, OH 43214-3043
(614) 382-6460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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