Individual
KIMBERLY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 HAVERSHIRE BLVD, STATE COLLEGE, PA 16803-4610
(814) 308-0352
Mailing address
846 HASENFLU DR, HERMITAGE, PA 16148-2825
(845) 649-3047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010555
PA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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