Provider Demographics
NPI:1417759630
Name:FABACHER, OLIVIA (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:FABACHER
Suffix:
Gender:
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E HAMPDEN AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2886
Mailing Address - Country:US
Mailing Address - Phone:303-788-4452
Mailing Address - Fax:
Practice Address - Street 1:500 E HAMPDEN AVE STE 410
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2886
Practice Address - Country:US
Practice Address - Phone:303-788-4452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.00201722251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic