Healthcare Provider Details
I. General information
NPI: 1154449668
Provider Name (Legal Business Name): HOHMAN REHAB AND SPORTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2007
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
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
- Phone: 352-404-6908
- Fax: 352-404-6909
- Phone: 352-404-6908
- Fax: 352-404-6909
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATIE
ELIZABETH
HOHMAN
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 352-404-6908