Individual
JENNIFER NICOLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1225 W FRONT ST, TRAVERSE CITY, MI 49684-2368
(231) 935-0788
(231) 935-0787
Mailing address
1225 W FRONT ST, TRAVERSE CITY, MI 49684-2368
(231) 935-0788
(231) 935-0787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013714
MI
Other
Enumeration date
05/20/2009
Last updated
04/16/2013
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