Individual
TIMOTHY NEUGEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
904 HOLLYWOOD BLVD, CORRALES, NM 87048-8478
(505) 850-2749
Mailing address
904 HOLLYWOOD BLVD, CORRALES, NM 87048-8478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3675
NM
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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