Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT7750 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT7750 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT7750 | CA |
NPI | 1801400700 |
---|---|
Provider Name | Mailanie Concepcion Baird |
First Address | Sacramento, CA 95835-1706 |
Second Address | Sacramento, CA 95823-5410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2020 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1069231 | NATIONAL BOARD OF OCCUPATIONAL THERAPY (01) | |
120489 | TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS (01) | TX |
201811202 | HAND THERAPY CERTIFICATION COMISSION, INC (01) | |
OT7750 | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY (01) | CA |
OTT.200047 | LOUISIANA STATE BOARD OF MEDICAL EXAMINERS (01) | LA |