Healthcare Provider Details

I. General information

NPI: 1548726227
Provider Name (Legal Business Name): ARIANA OLIVEIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 12/08/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5008 W 92ND AVE
WESTMINSTER CO
80031-6302
US

IV. Provider business mailing address

380 EMPIRE RD STE 220
LAFAYETTE CO
80026-2677
US

V. Phone/Fax

Practice location:
  • Phone: 303-412-7035
  • Fax: 303-412-7993
Mailing address:
  • Phone: 720-509-9633
  • Fax: 210-590-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1315594
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: