Individual
JACOB ANTHONY SHILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18109 PRINCE PHILIP DR STE 155, OLNEY, MD 20832-1591
(301) 260-3280
Mailing address
8025 GREEN TREE CT, ELKRIDGE, MD 21075-6106
(443) 610-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305215328
VA
225100000X
Physical Therapist
Primary
29154
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2022
Last updated
12/12/2023
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