Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC004487L | PA |
NPI | 1003050287 |
---|---|
Provider Name | Joanne Baird |
First Address | Murrysville, PA 15668-1340 |
Second Address | Pittsburgh, PA 15201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 01/05/2009 |