Healthcare Provider Details

I. General information

NPI: 1962590653
Provider Name (Legal Business Name): TONYA S HOHMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 S TAFT AVE
FREMONT OH
43420-3200
US

IV. Provider business mailing address

5267 S T R 25
ALVADA OH
44802
US

V. Phone/Fax

Practice location:
  • Phone: 419-332-7321
  • Fax: 419-334-6673
Mailing address:
  • Phone: 419-447-7203
  • Fax: 419-447-5577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number08024
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: