Individual
JENNIFER DROKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61109-5090
(815) 381-7431
(815) 381-7498
Mailing address
BOX 78534, MILWAUKEE, WI 53278
(815) 381-7431
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-004002
IL
Other
Enumeration date
08/22/2006
Last updated
12/11/2014
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