| Doctor Name: | THOMAS JOSEPH NEUENS |
| NPI Number: | 1366762205 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OTR/L |
| License Number: | 5201007729 |
| Business Practice Address: | 34800 Bob Wilson Dr San Diego, CA - 921341098 |
| Business Phone Number: | 6195327135 |
| Business Fax Number: | |
| Mailing Address: | 6414 College Grove Dr Unit 11, SAN DIEGO |
| State: | CA |
| Postal Code: | 921157219 |
| Phone Number: | 9062803051 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2010 |
| NPI Last Update Date: | 06/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 5201007729 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |