Provider Demographics
NPI:1730077785
Name:DUNSMORE, OLIVIA ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ANN
Last Name:DUNSMORE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17112 PENROSE LN
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-8133
Mailing Address - Country:US
Mailing Address - Phone:417-422-8279
Mailing Address - Fax:
Practice Address - Street 1:2700 SOMERSET DR
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66206-1173
Practice Address - Country:US
Practice Address - Phone:417-422-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-04287225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist