Individual
CARLYN MARIE TILLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
6231 LEESBURG PIKE STE 500, FALLS CHURCH, VA 22044-2102
(703) 536-1817
Mailing address
1201 BRADDOCK PL APT 1016, ALEXANDRIA, VA 22314-1674
(804) 832-6802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-008699
VA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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