Provider Demographics
NPI:1447546098
Name:BAI, DAVID F (OTR/L)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:BAI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:F
Other - Last Name:BAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:11 FOREST GLEN RD
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-2605
Mailing Address - Country:US
Mailing Address - Phone:860-575-9609
Mailing Address - Fax:
Practice Address - Street 1:11 FOREST GLEN RD
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-2605
Practice Address - Country:US
Practice Address - Phone:860-575-9609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10296225X00000X
CT002181225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation