Healthcare Provider Details

I. General information

NPI: 1922256015
Provider Name (Legal Business Name): MEGAN HOHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45965 PARRY HOLLOW RD
CALDWELL OH
43724-9316
US

IV. Provider business mailing address

45965 PARRY HOLLOW RD
CALDWELL OH
43724-9316
US

V. Phone/Fax

Practice location:
  • Phone: 740-509-1146
  • Fax:
Mailing address:
  • Phone: 740-509-1146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA6414
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: