Individual
JORDAN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4700 42ND AVE SW STE 510, SEATTLE, WA 98116-4583
(401) 726-7100
Mailing address
4700 42ND AVE SW STE 510, SEATTLE, WA 98116-4583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT03168
RI
225100000X
Physical Therapist
Primary
PT60876058
WA
Other
Enumeration date
04/19/2019
Last updated
12/06/2022
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