Provider Demographics
NPI:1518251222
Name:LAIRD, MARGARET FRANCES (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:FRANCES
Last Name:LAIRD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6414 STARSTREAK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4436
Mailing Address - Country:US
Mailing Address - Phone:512-657-6413
Mailing Address - Fax:
Practice Address - Street 1:2401 RIVER RD STE 102
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-5412
Practice Address - Country:US
Practice Address - Phone:541-683-6187
Practice Address - Fax:541-689-4525
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6491225100000X
TX1177359225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist