Individual
PAMELA ELIZABETH NEUGEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1290
SD
225100000X
Physical Therapist
Primary
7454
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640071000
—
MN
Enumeration date
08/25/2006
Last updated
03/09/2022
Update your record
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