Provider Demographics
NPI:1528119021
Name:HUNTER, MOLLY (OTRL)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
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Mailing Address - Street 1:9620 HIDDEN VALLEY DR
Mailing Address - Street 2:STE 101
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1624
Mailing Address - Country:US
Mailing Address - Phone:314-954-7736
Mailing Address - Fax:314-845-7752
Practice Address - Street 1:6022 S LINDBERGH BLVD
Practice Address - Street 2:STE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-7040
Practice Address - Country:US
Practice Address - Phone:314-845-7751
Practice Address - Fax:314-845-7752
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2015-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO004285225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist