Provider Demographics
NPI:1619901204
Name:HOHMAN, LYDIA A (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:A
Last Name:HOHMAN
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7081-7083 BALTIMORE ANNAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-1431
Practice Address - Country:US
Practice Address - Phone:410-691-1090
Practice Address - Fax:410-691-1094
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06440225X00000X, 225XH1200X
PAOC003059L225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
06440OtherMARYLAND LICENSE NUMBER
180517YZWOtherDC MEDICARE
180610ZAKWOtherMARYLAND MEDICARE
46950044OtherCAREFIRST BCBS DC
96659801OtherCAREFIRST BCBS MARYLAND INDIVIDUAL #
S176GTOtherCAREFIRST BCBS MARYLAND GROUP #
96659801OtherCAREFIRST BCBS MARYLAND INDIVIDUAL #
06440OtherMARYLAND LICENSE NUMBER
180610ZAKWOtherMARYLAND MEDICARE
46950044OtherCAREFIRST BCBS DC