Individual
FELISHA RENEE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/OTR
Contact information
Practice address
1353 N WESTMORELAND, DALLAS, TX 75211
(224) 805-7617
Mailing address
2502 RIVERSIDE PKWY APT 1324, GRAND PRAIRIE, TX 75050-7985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008573
IL
225X00000X
Occupational Therapist
Primary
113489
TX
Other
Enumeration date
10/26/2009
Last updated
09/10/2012
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