Individual
MS. VICKIE FAY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
429 S YELLOWSTONE DR, MADISON, WI 53719-1021
(608) 277-1010
Mailing address
33 MAPLE AIRE DR, BLUE MOUNDS, WI 53517-9655
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7019-27
WI
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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