Individual
MS. MEGAN EILEEN JILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
5268 NICHOLSON LN, KENSINGTON, MD 20895-1009
(808) 238-7357
Mailing address
5268 NICHOLSON LN, KENSINGTON, MD 20895-1009
(808) 238-7357
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
OT010000632
DC
225XP0200X
Pediatric Occupational Therapist
Primary
08320
MD
225XP0200X
Pediatric Occupational Therapist
9795
MA
Other
Enumeration date
05/13/2009
Last updated
03/17/2018
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