Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT1567 | CA |
N | 225XF0002X | Feeding, Eating & Swallowing | OT1567 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT1567 | CA |
NPI | 1386882330 |
---|---|
Provider Name | Robynne Neuhaus |
First Address | Santa Rosa, CA 95405-8377 |
Second Address | Santa Rosa, CA 95403-2761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2009 |
Last Update Date | 29/01/2009 |