Healthcare Provider Details

I. General information

NPI: 1548078348
Provider Name (Legal Business Name): HOHMAN REHAB AND SPORTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 S PARK AVE
APOPKA FL
32703-4254
US

IV. Provider business mailing address

125 S PARK AVE
APOPKA FL
32703-4254
US

V. Phone/Fax

Practice location:
  • Phone: 407-410-3200
  • Fax: 352-404-6909
Mailing address:
  • Phone: 407-410-3200
  • Fax: 352-404-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN REAU
Title or Position: COO
Credential:
Phone: 352-404-6908