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Individual

MRS. MICHELLE LYNNE DRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA/L

Contact information

Practice address
555 SPRINGBROOK DR, MEDINA, OH 44256-3651
(330) 725-3393
Mailing address
555 SPRINGBROOK DR, MEDINA, OH 44256-3651
(330) 725-3393

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 01776
OH

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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