Individual
JONATHAN BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 PERRY ST, UNIT D, DENVER, CO 80204-3048
(303) 814-2865
Mailing address
9696 PINEBROOK ST, HIGHLANDS RANCH, CO 80130-4124
(720) 344-5634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL-8940
LICENSE #
CO
Enumeration date
08/25/2006
Last updated
07/08/2007
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