Individual
STEPHANIE BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AC OT
Contact information
Practice address
222 ST JOHN ST, SUITE 226, PORTLAND, ME 04102
(207) 871-5060
(207) 839-2197
Mailing address
28 SMITH ST, SOUTH PORTLAND, ME 04106-2238
(207) 871-5060
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC159
ME
225X00000X
Occupational Therapist
Primary
OT292
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025149
ANTHEM BC BS OCCUPATIONAL
—
Enumeration date
01/17/2006
Last updated
12/17/2021
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