Provider Demographics
NPI:1386839348
Name:BUCHSBAUM, LAUREN AMY (PT)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:AMY
Last Name:BUCHSBAUM
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 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:830 MORRIS TURNPIKE
Practice Address - Street 2:PHYSICAL/OCCUPATIONAL THERAPY
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078
Practice Address - Country:US
Practice Address - Phone:973-302-6040
Practice Address - Fax:973-735-2779
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026415225100000X
NJ40QA01277200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist