Healthcare Provider Details

I. General information

NPI: 1467619114
Provider Name (Legal Business Name): KATIE E HOHMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 10/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 MOHAWK RD
CLERMONT FL
34715-7433
US

IV. Provider business mailing address

236 MOHAWK RD
CLERMONT FL
34715-7433
US

V. Phone/Fax

Practice location:
  • Phone: 352-404-6908
  • Fax: 352-404-6909
Mailing address:
  • Phone: 352-404-6908
  • Fax: 352-404-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT22965
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: