Provider Demographics
NPI:1578947859
Name:O'REILLY TRONOLONE, KARLIE
Entity Type:Individual
Prefix:
First Name:KARLIE
Middle Name:
Last Name:O'REILLY TRONOLONE
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 1:510 TOFTREES AVE APT 231
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1919
Mailing Address - Country:US
Mailing Address - Phone:847-505-6353
Mailing Address - Fax:
Practice Address - Street 1:250 UNIVERSITY DR
Practice Address - Street 2:PEGULA ICE ARENA
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16802
Practice Address - Country:US
Practice Address - Phone:847-505-6353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer