Individual
DENISE DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CORPORATE WAY, 250, ORANGE PARK, FL 32073-2874
(904) 731-3515
(904) 213-7654
Mailing address
12988 SPRING RAIN RD, JACKSONVILLE, FL 32258-5200
(904) 446-6987
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YPPW16012527
BLUECROSS BLUESHIELD
FL
Enumeration date
11/29/2016
Last updated
11/29/2016
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