Individual
CRAIG NEIBAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3220 S STATE ST, SALT LAKE CITY, UT 84115-3836
(801) 463-1101
(801) 463-1197
Mailing address
3220 S STATE ST, SALT LAKE CITY, UT 84115-3836
(801) 463-1101
(801) 463-1197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
UT
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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