Individual
BRITTANY MARIE PAHOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 464-6170
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008957
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D14869
MEDICARE GROUP PTAN
MI
Enumeration date
07/21/2015
Last updated
07/24/2025
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