Individual
COURTNEY D HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6191 KRAFT AVE SE, GRAND RAPIDS, MI 49512-9396
(616) 698-7111
Mailing address
4308 175TH PL, COUNTRY CLUB HILLS, IL 60478-4740
(708) 916-1405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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