Individual
MRS. LORI ANN BERESHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
250 TUYTENBRIDGE RD, LAKE KATRINE, NY 12449-5429
(845) 336-7235
(845) 336-4726
Mailing address
3 GARDEN CIR, SAUGERTIES, NY 12477-2321
(845) 247-8855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000549-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473001
—
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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