Basic Information
| Provider Information | |||||||||
| NPI: | 1346660842 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOHENEDER | ||||||||
| FirstName: | KARI | ||||||||
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| Mailing Information | |||||||||
| Address1: | BAY AREA MOBILITY 3117 SHORE DRIVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | MARINETTE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 54143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7157325111 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3117 SHORE DR | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | MARINETTE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 541434293 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7157325111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2014 | ||||||||
| LastUpdateDate: | 04/28/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 2028-19 | WI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.