Individual
CHARLA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
609 S HARRIS ST, HELENA, MT 59601-5409
(406) 439-6937
Mailing address
609 S HARRIS ST, HELENA, MT 59601-5409
(406) 439-6937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-2650
MT
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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