NPI 1962202572

Molly K. Suellentrop, COTAL

Practitioner Occupational Therapy Assistant Peoria Heights, IL

Practice location

Address: 4450 N Prospect Rd STE C5, Peoria Heights, IL 61616-6578
Phone: (309) 363-7594
Fax: (309) 966-3621

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057003889 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1962202572
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2025
Record last updated: 14 Mar 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.