Provider Demographics
NPI:1578837225
Name:REUVEN, BARBARA I (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:I
Last Name:REUVEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:I
Other - Last Name:SCHILDKRAUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1111 US HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2808
Mailing Address - Country:US
Mailing Address - Phone:908-389-9100
Mailing Address - Fax:908-389-9001
Practice Address - Street 1:1111 US HIGHWAY 22 EAST
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092
Practice Address - Country:US
Practice Address - Phone:908-389-9100
Practice Address - Fax:908-389-9001
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00374800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist