Organization
NEW ROOTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARA BRANN OTD, OTR/L (CEO)
(907) 531-9202
Entity
Organization
Contact information
Practice address
3535 COLLEGE RD STE 211, FAIRBANKS, AK 99709-3724
(907) 531-9202
Mailing address
1681 WOLVERINE LN, FAIRBANKS, AK 99709-6630
(907) 378-4833
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
06/26/2023
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