Individual
CHRISTINA DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
1425 LARKINBURG RD, TROY, KS 66087-4064
(785) 741-1563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1105
NE
Other
Enumeration date
01/29/2013
Last updated
02/01/2017
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