Individual
PHILLIP EDWARD DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1908 TREE CROSSINGS PKWY, HOOVER, AL 35244-4060
(256) 651-0704
Mailing address
1908 TREE CROSSINGS PKWY, HOOVER, AL 35244-4060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4826
AL
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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