Healthcare Provider Details

I. General information

NPI: 1669279295
Provider Name (Legal Business Name): ANNA ROSE LAURIA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2025
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 YOUNGFIELD ST STE 170
GOLDEN CO
80401-0210
US

IV. Provider business mailing address

579 WRIGHT ST APT 301
LAKEWOOD CO
80228-1111
US

V. Phone/Fax

Practice location:
  • Phone: 303-409-2133
  • Fax:
Mailing address:
  • Phone: 864-650-8209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPTL.0020318
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: