Provider Demographics
NPI:1356137921
Name:JOAN C HOLLIS PT, DSC, LLC
Entity type:Organization
Organization Name:JOAN C HOLLIS PT, DSC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:COLETTE
Authorized Official - Last Name:HOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DSC, FAAOMPT
Authorized Official - Phone:440-376-8109
Mailing Address - Street 1:103 ALDERWOOD DR.
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4500
Mailing Address - Country:US
Mailing Address - Phone:440-376-8109
Mailing Address - Fax:
Practice Address - Street 1:103 ALDERWOOD DR.
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4500
Practice Address - Country:US
Practice Address - Phone:440-376-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy