Provider Demographics
NPI:1124443395
Name:BAIRD, LESLIE (MED PT)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MED PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:150 N MILLER RD
Mailing Address - Street 2:SUITE #150A
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3770
Mailing Address - Country:US
Mailing Address - Phone:330-867-2240
Mailing Address - Fax:330-867-2245
Practice Address - Street 1:150 N MILLER RD
Practice Address - Street 2:SUITE #150A
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3770
Practice Address - Country:US
Practice Address - Phone:330-867-2240
Practice Address - Fax:330-867-2245
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH14902251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics