Organization
STEPHANIE
Active
Organization
STEPHANIE
Active
Parent organization
STEPHANIE A BAIRD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHANIE A BAIRD PC
Authorized official
STEPHANIE ANNE BAIRD OTR,L.AC.,M.AC (PRESIDENT)
(207) 871-5060
Entity
Organization
Contact information
Practice address
222 SAINT JOHN ST STE 226, PORTLAND, ME 04102-3058
(207) 871-5060
Mailing address
28 SMITH ST, SOUTH PORTLAND, ME 04106-2238
(207) 871-5060
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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