Provider Demographics
NPI:1922733922
Name:BAIRD, OLIVIA BETH (OTR/L)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:BETH
Last Name:BAIRD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:EAST NEWPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04933-0032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:167 SEBASTICOOK ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:ME
Practice Address - Zip Code:04967-4107
Practice Address - Country:US
Practice Address - Phone:207-416-2327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty