Provider Demographics
NPI:1083734347
Name:DRESSER, MICHELLE LYNNE (OTRL)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LYNNE
Last Name:DRESSER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LYNNE
Other - Last Name:DAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 DOG LN
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-1611
Mailing Address - Country:US
Mailing Address - Phone:781-536-4364
Mailing Address - Fax:
Practice Address - Street 1:475 SCHOOL ST
Practice Address - Street 2:SUITE 17
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2068
Practice Address - Country:US
Practice Address - Phone:781-834-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7716174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist