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Individual

MS. CAROLYN MARIE GILLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
188 MONMOUTH AVE, ATLANTIC HIGHLANDS, NJ 07716-2218
(215) 200-2265
Mailing address
188 MONMOUTH AVE, ATLANTIC HIGHLANDS, NJ 07716-2218
(215) 200-2265

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
023151
NY
225X00000X
Occupational Therapist
Primary
46TR01262700
NJ

Other

Enumeration date
12/16/2018
Last updated
11/05/2025
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