Provider Demographics
NPI:1669517447
Name:HOHMAN, MARY JANE (LMP, OTR)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:JANE
Last Name:HOHMAN
Suffix:
Gender:F
Credentials:LMP, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 SW MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1683
Mailing Address - Country:US
Mailing Address - Phone:206-762-4899
Mailing Address - Fax:
Practice Address - Street 1:5437 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1583
Practice Address - Country:US
Practice Address - Phone:206-937-4777
Practice Address - Fax:206-923-0093
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013999225700000X
WAOT00002244225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist