Healthcare Provider Details

I. General information

NPI: 1780612531
Provider Name (Legal Business Name): PATRICK TERRENCE HOBAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 GREEN RD STE 170
ANN ARBOR MI
48105-1572
US

IV. Provider business mailing address

2350 GREEN RD STE 170
ANN ARBOR MI
48105-1572
US

V. Phone/Fax

Practice location:
  • Phone: 734-417-4357
  • Fax: 734-359-7275
Mailing address:
  • Phone: 734-417-4357
  • Fax: 734-359-7275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501006534
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: