Provider Demographics
NPI:1558036228
Name:MUHL, MOLLY JO (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:JO
Last Name:MUHL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:JO
Other - Last Name:HINGTGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:7730 CARONDELET AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3329
Mailing Address - Country:US
Mailing Address - Phone:844-518-9663
Mailing Address - Fax:
Practice Address - Street 1:1709 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-9213
Practice Address - Country:US
Practice Address - Phone:309-321-8393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056013857225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist