Provider Demographics
NPI:1679049555
Name:BURES, RENEE (MSW, ATR)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:BURES
Suffix:
Gender:F
Credentials:MSW, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1659
Mailing Address - Country:US
Mailing Address - Phone:215-262-4443
Mailing Address - Fax:
Practice Address - Street 1:44 FRONT ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1659
Practice Address - Country:US
Practice Address - Phone:215-262-4443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist