Individual
CARLY SHILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
708 BANNEKER LANE, ANNAPOLIS, MD 21401
(410) 615-2462
Mailing address
708 BANNEKER LN, ANNAPOLIS, MD 21401-4567
(410) 615-2462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04974
MD
225XE0001X
Environmental Modification Occupational Therapist
04974
MD
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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