Individual
MS. CATHY ANN OLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 COCHRANE CIR, BLDG 7489- WARRRIOR RECOVERY CENTER, FORT CARSON, CO 80913-4613
(719) 526-4911
(719) 526-8883
Mailing address
15425 DESIREE DR, COLORADO SPRINGS, CO 80921-3515
(719) 510-7902
(719) 526-8883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2120
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70487065
—
CO
Enumeration date
02/23/2007
Last updated
04/25/2013
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