Organization
ROOTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA J BANKS (INSURANCE & BILLING COORDINATOR)
(406) 459-8163
Entity
Organization
Contact information
Practice address
104 W CUSTER AVE STE 7, HELENA, MT 59602-0106
(406) 439-6937
(406) 422-0359
Mailing address
PO BOX 5175, HELENA, MT 59604-5175
(406) 439-6937
(406) 422-0359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000537329
—
MT
Enumeration date
10/08/2019
Last updated
10/08/2019
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