Provider Demographics
NPI:1528156585
Name:BAIRD, DONNA J (OCCUP THERAPIST)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:BAIRD
Suffix:
Gender:F
Credentials:OCCUP THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 CEDARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1711
Mailing Address - Country:US
Mailing Address - Phone:205-978-9069
Mailing Address - Fax:205-978-9235
Practice Address - Street 1:1729 CEDARWOOD RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-1711
Practice Address - Country:US
Practice Address - Phone:205-978-9069
Practice Address - Fax:205-978-9235
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0891225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL890006560Medicaid