NPI 1316167687

Diane K Baird, OTR

Practitioner Contractor Idaho Falls, ID

Practice location

Address: 3696 S Holmes Ave, Idaho Falls, ID 83404-7911
Phone: (208) 552-2374
Fax: (208) 524-0867

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence OT-183 (ID)

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Registry record

NPI: 1316167687
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2007
Record last updated: 16 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.