Individual
MS. CAROLYN ANN SCHILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2505 COLGRAVE RD, MIDLOTHIAN, VA 23112-3766
(804) 519-5457
Mailing address
2505 COLGRAVE RD, MIDLOTHIAN, VA 23112-3766
(804) 519-5457
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000749
STATE LICENSE
VA
Enumeration date
04/12/2007
Last updated
12/14/2012
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