Individual
ALYSSA REBECCA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
863 N COCOA BLVD, COCOA, FL 32922-7510
(321) 305-5965
(321) 305-5965
Mailing address
863 N COCOA BLVD, COCOA, FL 32922-7510
(321) 305-5965
(321) 305-5965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5649
FL
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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