Provider Demographics
NPI:1033240783
Name:REULAND, CARYN D (PT)
Entity Type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:D
Last Name:REULAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 COLONY AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-7830
Mailing Address - Country:US
Mailing Address - Phone:847-265-5003
Mailing Address - Fax:847-265-0536
Practice Address - Street 1:675 COLONY AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:IL
Practice Address - Zip Code:60046-7830
Practice Address - Country:US
Practice Address - Phone:847-265-5003
Practice Address - Fax:847-265-0536
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics