Individual provider · Type 1 NPI
Tara Branch
Developmental Therapist · Madison, IN
Practice location
701 Elm St
Madison, IN 47250-3316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 1491618 (IN) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1164815429
Tara Branch's National Provider Identifier is 1164815429, issued on Mar 11, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Madison, IN. The record was last updated on Mar 11, 2015.