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Individual

DR. ALEXANDER CHARLES DRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1300 S GREEN BAY RD, SUITE #205, RACINE, WI 53406-4469
(262) 898-3930
(262) 898-3933
Mailing address
1809 SHEPHERD CT, APARTMENT# 206, WAUKESHA, WI 53186-5380
(908) 642-1629

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13637-24
WI

Other

Enumeration date
10/19/2016
Last updated
10/28/2016
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