Individual
MRS. JAMIE MICHELLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9447B LORTON MARKET ST, SUITE 250, LORTON, VA 22079-1963
(703) 690-2650
(703) 690-0344
Mailing address
9447B LORTON MARKET ST, SUITE 250, LORTON, VA 22079-1963
(703) 690-2650
(703) 690-0344
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206295
VA
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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