Individual
JENNIFER DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 MOORE RD, MATTHEWS, NC 28105-4978
(877) 407-3422
(877) 407-4329
Mailing address
385 SPEARS CREEK CHURCH RD STE B, ELGIN, SC 29045-8446
(803) 929-7408
(888) 711-0441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8418
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8418
PHYSICAL THERAPY LICENSES
SC
Enumeration date
02/18/2015
Last updated
04/10/2025
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