Provider Demographics
NPI:1548078348
Name:HOHMAN REHAB AND SPORTS THERAPY LLC
Entity type:Organization
Organization Name:HOHMAN REHAB AND SPORTS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-404-6908
Mailing Address - Street 1:125 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4254
Mailing Address - Country:US
Mailing Address - Phone:407-410-3200
Mailing Address - Fax:352-404-6909
Practice Address - Street 1:125 S PARK AVE
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4254
Practice Address - Country:US
Practice Address - Phone:407-410-3200
Practice Address - Fax:352-404-6909
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOHMAN REHAB AND SPORTS THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty