MISS Diane K Baird, OTR

NPI #1316167687 in Idaho Falls, Idaho

Provider Information

NPI Number: 1316167687
Entity Type: Individual
Name: MISS Diane K Baird, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTR
Enumeration Date: Apr 27, 2007
Last Updated: Nov 16, 2009

Practice Location

Address: 3696 S HOLMES AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7911
Phone: (208) 552-2374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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