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Individual

AUSTIN DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
364 MADISON ST, WATERVILLE, NY 13480-1116
(315) 841-3222
(315) 841-4023
Mailing address
792 N MAIN ST STE 100C, NORTH SYRACUSE, NY 13212-1667
(315) 458-2552
(315) 458-2575

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NY

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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