Individual
MARIE DRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 S CALIFORNIA AVE, STE 300, PALO ALTO, CA 94306-1935
(650) 331-3700
Mailing address
14895 CONWAY AVE, SAN JOSE, CA 95124-4319
(408) 626-8601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2482
LICENSE #
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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