Provider Demographics
NPI:1174354906
Name:ANUFRYIENKA, ANHELINA (PT, DPT)
Entity type:Individual
Prefix:
First Name:ANHELINA
Middle Name:
Last Name:ANUFRYIENKA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10246 TALIESIN DR APT 210
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5424
Mailing Address - Country:US
Mailing Address - Phone:347-500-1996
Mailing Address - Fax:
Practice Address - Street 1:1550 S POTOMAC ST STE 110
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5433
Practice Address - Country:US
Practice Address - Phone:347-500-1996
Practice Address - Fax:303-484-2885
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist