Provider Demographics
NPI:1144418641
Name:REINER, KAREN W
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:W
Last Name:REINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 ETON ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4719
Mailing Address - Country:US
Mailing Address - Phone:201-816-0307
Mailing Address - Fax:201-816-0875
Practice Address - Street 1:400 ETON ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4719
Practice Address - Country:US
Practice Address - Phone:201-816-0307
Practice Address - Fax:201-816-0875
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00199500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist