Provider Demographics
NPI:1396988499
Name:NEUHARTH, PAMELA (MS, PT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:NEUHARTH
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 S RURAL RD
Mailing Address - Street 2:SUITE 5-S
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-2435
Mailing Address - Country:US
Mailing Address - Phone:480-921-9000
Mailing Address - Fax:
Practice Address - Street 1:2525 S RURAL RD
Practice Address - Street 2:SUITE 5-S
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-2435
Practice Address - Country:US
Practice Address - Phone:480-921-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43982251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic