Individual
JENNIFER LYNN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
545 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
Mailing address
2463 ROBIN RIDGE DR, DACULA, GA 30019-2324
(706) 294-7157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005750
GA
Other
Enumeration date
09/12/2013
Last updated
05/11/2022
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