Provider Demographics
NPI:1063467215
Name:HOLLIS, MARGARET (PT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:HOLLIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26336 E HURON RIVER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-1833
Mailing Address - Country:US
Mailing Address - Phone:734-789-8281
Mailing Address - Fax:734-789-8258
Practice Address - Street 1:26336 E HURON RIVER DR
Practice Address - Street 2:SUITE A
Practice Address - City:FLAT ROCK
Practice Address - State:MI
Practice Address - Zip Code:48134-1833
Practice Address - Country:US
Practice Address - Phone:734-789-8281
Practice Address - Fax:734-789-8258
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005393225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist