Provider Demographics
NPI:1831467059
Name:ENGLAND, DAVINA L (MED, OTR/L)
Entity Type:Individual
Prefix:
First Name:DAVINA
Middle Name:L
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:MED, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3190 BRAUN CT
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1636
Mailing Address - Country:US
Mailing Address - Phone:303-439-8198
Mailing Address - Fax:
Practice Address - Street 1:3190 BRAUN CT
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1636
Practice Address - Country:US
Practice Address - Phone:303-439-8198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2375225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist