Provider Demographics
NPI:1831876812
Name:KOVACEVIC, LJILJANA (OTR/L, OTD)
Entity type:Individual
Prefix:
First Name:LJILJANA
Middle Name:
Last Name:KOVACEVIC
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5977 N LIVERPOOL ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-2315
Mailing Address - Country:US
Mailing Address - Phone:720-401-7167
Mailing Address - Fax:
Practice Address - Street 1:5977 N LIVERPOOL ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80019-2315
Practice Address - Country:US
Practice Address - Phone:720-401-7167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist