Provider Demographics
NPI:1013747765
Name:ENGLAND, OLIVIA DAVIS
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:DAVIS
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 N 9TH AVE APT 64
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6465
Mailing Address - Country:US
Mailing Address - Phone:251-599-0074
Mailing Address - Fax:
Practice Address - Street 1:8050 N 9TH AVE APT 64
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6465
Practice Address - Country:US
Practice Address - Phone:251-599-0074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer