Healthcare Provider Details

I. General information

NPI: 1598870776
Provider Name (Legal Business Name): AIMEE ROBERTS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 S 20TH ST W SUITE 3
BILLINGS MT
59102-6445
US

IV. Provider business mailing address

5340 LEITH DR
BILLINGS MT
59106-4010
US

V. Phone/Fax

Practice location:
  • Phone: 406-652-3730
  • Fax: 406-652-4913
Mailing address:
  • Phone: 406-652-3730
  • Fax: 406-652-4913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number947
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: