Individual
DENISE MARIE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004693A
IN
225XH1200X
Hand Occupational Therapist
5527
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200922680
—
IN
01
—
P01023494
MEDIDCARE RR
IN
Enumeration date
08/24/2007
Last updated
05/24/2012
Update your record
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