Provider Demographics
NPI:1982152583
Name:RUBENSTEIN, LAUREN B (DPT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:RUBENSTEIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6480 HARRISON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7961
Mailing Address - Country:US
Mailing Address - Phone:513-815-5585
Mailing Address - Fax:859-342-0079
Practice Address - Street 1:4859 NIXON PARK DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8106
Practice Address - Country:US
Practice Address - Phone:513-653-2911
Practice Address - Fax:513-275-5750
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006931225100000X
OHPT016504225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist