Organization
BRANCH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL D BARKER (ORGANIZER-INCORPORATOR/ CCC-SLP)
(616) 255-6609
Entity
Organization
Contact information
Practice address
1202 NE MCCLAIN RD, BENTONVILLE, AR 72712-3875
(616) 255-5660
Mailing address
1202 NE MCCLAIN RD, BENTONVILLE, AR 72712-3875
(616) 255-6609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#4018
AR
Other
Enumeration date
03/14/2016
Last updated
05/11/2016
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