Provider Demographics
NPI:1124459961
Name:OHMS, ABBY
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:OHMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 CALYX LN
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-2214
Mailing Address - Country:US
Mailing Address - Phone:877-813-9090
Mailing Address - Fax:419-472-0812
Practice Address - Street 1:930 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-4097
Practice Address - Country:US
Practice Address - Phone:877-813-9090
Practice Address - Fax:419-472-0812
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08353225200000X
MI5502003439225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant