Healthcare Provider Details

I. General information

NPI: 1306166467
Provider Name (Legal Business Name): LAURA T HOHM DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 W 24TH ST 7TH FLR
NEW YORK NY
10011-1911
US

IV. Provider business mailing address

696 SACKETT ST APT 4R
BROOKLYN NY
11217-3137
US

V. Phone/Fax

Practice location:
  • Phone: 212-997-7490
  • Fax:
Mailing address:
  • Phone: 609-314-0138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number029991-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: