Provider Demographics
NPI:1366520520
Name:BAIRD, ELIZABETH ANN (OT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:BAIRD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 KENT RD.
Mailing Address - Street 2:
Mailing Address - City:CORNWALL BRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06754
Mailing Address - Country:US
Mailing Address - Phone:845-877-3099
Mailing Address - Fax:845-877-3098
Practice Address - Street 1:3066 VILLAGE PLAZA
Practice Address - Street 2:SUITE 4
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522
Practice Address - Country:US
Practice Address - Phone:845-877-3099
Practice Address - Fax:845-877-3098
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002081225XH1200X
NY008503-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics