Provider Demographics
NPI:1063915692
Name:HOHMANN, ALYSSA M (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:HOHMANN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:M
Other - Last Name:AHLGREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OCCUPATIONAL THERAPI
Mailing Address - Street 1:120 N DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:MI
Mailing Address - Zip Code:48471-1009
Mailing Address - Country:US
Mailing Address - Phone:810-648-0210
Mailing Address - Fax:810-648-0214
Practice Address - Street 1:170 ARGYLE STREET
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471
Practice Address - Country:US
Practice Address - Phone:810-648-0210
Practice Address - Fax:810-648-0214
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008136225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist