Provider Demographics
NPI:1386891893
Name:DRESSEL, ERIN JESSICA (MSPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:JESSICA
Last Name:DRESSEL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 FRIEDMAN RD
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:NY
Mailing Address - Zip Code:14011-9708
Mailing Address - Country:US
Mailing Address - Phone:585-547-3624
Mailing Address - Fax:
Practice Address - Street 1:3338 E MAIN STREET RD
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:NY
Practice Address - Zip Code:14011-9684
Practice Address - Country:US
Practice Address - Phone:716-998-4004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22305-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist