Provider Demographics
NPI:1851998421
Name:SAFLUND, OLIVIA A (RN, ATC)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:A
Last Name:SAFLUND
Suffix:
Gender:F
Credentials:RN, ATC
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:A
Other - Last Name:YBARRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9514 REIGER RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814-9644
Mailing Address - Country:US
Mailing Address - Phone:808-295-5989
Mailing Address - Fax:
Practice Address - Street 1:9514 REIGER RD
Practice Address - Street 2:
Practice Address - City:BERLIN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44814-9644
Practice Address - Country:US
Practice Address - Phone:808-295-5989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0052452255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer