Healthcare Provider Details

I. General information

NPI: 1578584629
Provider Name (Legal Business Name): LOUIS JAMES HOHMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4161 TAMIAMI TRAIL STE 304
PORT CHARLOTTE FL
33952
US

IV. Provider business mailing address

396 ORLANDO BLVD
PORT CHARLOTTE FL
33954
US

V. Phone/Fax

Practice location:
  • Phone: 941-613-2844
  • Fax: 941-613-2840
Mailing address:
  • Phone: 941-629-1796
  • Fax: 941-613-2840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT3473
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: