Healthcare Provider Details

I. General information

NPI: 1104746775
Provider Name (Legal Business Name): MARIE SHILLING OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7766 BROADVIEW RD
PARMA OH
44134-6743
US

IV. Provider business mailing address

989 WINCHESTER OVAL
SEVEN HILLS OH
44131-2915
US

V. Phone/Fax

Practice location:
  • Phone: 216-447-8909
  • Fax:
Mailing address:
  • Phone: 440-623-3294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT009398
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: