Provider Demographics
NPI:1225277767
Name:DRESNER, TAMAR R (CMT)
Entity Type:Individual
Prefix:
First Name:TAMAR
Middle Name:R
Last Name:DRESNER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 HEMLOCK FARMS
Mailing Address - Street 2:
Mailing Address - City:LORDS VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-9203
Mailing Address - Country:US
Mailing Address - Phone:914-443-2868
Mailing Address - Fax:
Practice Address - Street 1:445 ROUTE 739
Practice Address - Street 2:
Practice Address - City:LORDS VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-6073
Practice Address - Country:US
Practice Address - Phone:570-775-4246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist