Provider Demographics
NPI:1376856997
Name:NEUBAUER, HONG THU (OTR)
Entity Type:Individual
Prefix:MS
First Name:HONG
Middle Name:THU
Last Name:NEUBAUER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:HONG
Other - Middle Name:THU
Other - Last Name:DOAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9155 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2410
Mailing Address - Country:US
Mailing Address - Phone:602-944-1666
Mailing Address - Fax:
Practice Address - Street 1:CHI ST. LUKE'S HEALTH
Practice Address - Street 2:6723 BERTNER AVE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-355-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-24
Last Update Date:2019-08-01
Deactivation Date:2019-05-02
Deactivation Code:
Reactivation Date:2019-08-01
Provider Licenses
StateLicense IDTaxonomies
TX119689225X00000X
AZ5489224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant