# DENISE MARIE DRAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518150358
- **Gender:** F
- **Credential:** BS OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31004693A | IN | Yes |
| 225XH1200X | Hand Occupational Therapist | 5527 | OH | — |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 05/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200922680 | — | IN |
| 01 | — | P01023494 | MEDIDCARE RR | IN |
