Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Jo Pruett, COTA

Individual provider Occupational Therapy Assistant · NPI 1750636551

Holly Jo Pruett, COTA is an Occupational Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2900 Charlevoix Dr SE Ste 200
Grand Rapids, MI 49546-7085
Phone: (180) 063-4107
Fax: (616) 975-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1750636551
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 17, 2012

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