Provider Demographics
NPI:1992519193
Name:CURLEY-KATRISHEN, OLYMPIA THERESE
Entity type:Individual
Prefix:MS
First Name:OLYMPIA
Middle Name:THERESE
Last Name:CURLEY-KATRISHEN
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 1:5300 SPRING RIDGE DR E
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-9590
Mailing Address - Country:US
Mailing Address - Phone:484-387-8833
Mailing Address - Fax:
Practice Address - Street 1:5300 SPRING RIDGE DR E
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-9590
Practice Address - Country:US
Practice Address - Phone:484-387-8833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program