Individual
MS. KAYLA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 OLD CHEROKEE RD, SUITE F, BOX 172, LEXINGTON, SC 29072-9316
(843) 312-1631
(803) 356-0468
Mailing address
100 OLD CHEROKEE RD, SUITE F, BOX 172, LEXINGTON, SC 29072-9316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2947
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274781
NBCOT
—
01
—
2947
SCLLR
SC
Enumeration date
07/30/2013
Last updated
07/30/2013
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