Healthcare Provider Details

I. General information

NPI: 1881313872
Provider Name (Legal Business Name): MEGAN HOHENTHANER OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 W 21ST ST
YANKTON SD
57078-1753
US

IV. Provider business mailing address

208 W 21ST ST
YANKTON SD
57078-1753
US

V. Phone/Fax

Practice location:
  • Phone: 605-665-5765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1140
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: