Provider Demographics
NPI:1437496163
Name:BAIRD, JANET RYBICKI (COTA)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:RYBICKI
Last Name:BAIRD
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 YADKIN GQ ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6107
Mailing Address - Country:US
Mailing Address - Phone:781-854-2312
Mailing Address - Fax:
Practice Address - Street 1:415 YADKIN GQ ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6107
Practice Address - Country:US
Practice Address - Phone:781-854-2312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8136224Z00000X
MA2837224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant