Provider Demographics
NPI:1689405623
Name:KAUFMAN, OLIVIA ROSE (DPT)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ROSE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8725 SHERIDAN BLVD UNIT C
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1478
Mailing Address - Country:US
Mailing Address - Phone:303-285-1199
Mailing Address - Fax:303-285-1399
Practice Address - Street 1:8725 SHERIDAN BLVD UNIT C
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-1478
Practice Address - Country:US
Practice Address - Phone:303-285-1199
Practice Address - Fax:303-285-1399
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20042225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist