Provider Demographics
NPI:1164745568
Name:LAGASSE, OLIVIA LAUREN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:LAUREN
Last Name:LAGASSE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5951 MIDDLEFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7917
Mailing Address - Country:US
Mailing Address - Phone:720-328-9920
Mailing Address - Fax:
Practice Address - Street 1:42309 KINGSMILL CIR
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-9114
Practice Address - Country:US
Practice Address - Phone:518-396-9139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2887225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics