Individual
DANA MARIE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(682) 738-3056
Mailing address
10319 GRANBURY HWY, WEATHERFORD, TX 76087-5302
(817) 343-4647
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2112171
TX
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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