Provider Demographics
NPI:1710186127
Name:HERBAN, KARALYN B (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:KARALYN
Middle Name:B
Last Name:HERBAN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:MISS
Other - First Name:KARALYN
Other - Middle Name:B
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OCCUPATIONAL THERAPI
Mailing Address - Street 1:50 RED BANK RD
Mailing Address - Street 2:
Mailing Address - City:SPOTSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08884-1717
Mailing Address - Country:US
Mailing Address - Phone:732-322-5695
Mailing Address - Fax:
Practice Address - Street 1:23 KILMER DR BLDG 1
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1563
Practice Address - Country:US
Practice Address - Phone:908-218-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00266000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist