Basic Information
| Provider Information | |||||||||
| NPI: | 1063915692 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOHMANN | ||||||||
| FirstName: | ALYSSA | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | |||||||||
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| Credential: | OCCUPATIONAL THERAPI | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | AHLGREN | ||||||||
| OtherFirstName: | ALYSSA | ||||||||
| OtherMiddleName: | M | ||||||||
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| OtherCredential: | OCCUPATIONAL THERAPI | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 120 N DELAWARE ST | ||||||||
| Address2: | |||||||||
| City: | SANDUSKY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484711009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8106480210 | ||||||||
| FaxNumber: | 8106480214 | ||||||||
| Practice Location | |||||||||
| Address1: | 170 ARGYLE STREET | ||||||||
| Address2: | |||||||||
| City: | SANDUSKY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8106480210 | ||||||||
| FaxNumber: | 8106480214 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2018 | ||||||||
| LastUpdateDate: | 06/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5201008136 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.