NPI 1003787359
Mollie Elizabeth Murdock, COTAL
Practice location
- Address
- 4450 N Prospect Rd STE C5, Peoria Heights, IL 61616-6578
- Phone
- (309) 363-7594
- Fax
- (309) 966-3621
- Mailing address
- 2223 106th St, Monmouth, IL 61462-9145
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003787359
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Sep 2025
- Record last updated
- 17 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.