Individual
NATHANIEL SHRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
795 WILLOW RD BLDG H, MENLO PARK, CA 94025-2539
(650) 614-9997
Mailing address
795 WILLOW RD BLDG H, MENLO PARK, CA 94025-2539
(650) 614-9997
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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