Individual
MOLLY ANSEL HOISINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
605 ACADEMY DR, NORTHBROOK, IL 60062-2420
(847) 480-8890
Mailing address
2501 PRAIRIE AVE, #3G, EVANSTON, IL 60201-2270
(773) 272-5345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011653
IL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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