Provider Demographics
NPI:1124510003
Name:BAIRD, WHITNEY (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:845 LYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2390
Mailing Address - Country:US
Mailing Address - Phone:858-356-2926
Mailing Address - Fax:
Practice Address - Street 1:845 LYNWOOD DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2390
Practice Address - Country:US
Practice Address - Phone:858-356-2926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16590225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics