Provider Demographics
NPI:1154824647
Name:BAIGUY, ERICA J (MOT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:J
Last Name:BAIGUY
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 LASKEY RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4614
Mailing Address - Country:US
Mailing Address - Phone:207-615-2379
Mailing Address - Fax:
Practice Address - Street 1:24 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:ME
Practice Address - Zip Code:04071-6809
Practice Address - Country:US
Practice Address - Phone:207-615-2379
Practice Address - Fax:207-558-8266
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
METO3450225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist