Individual
LEWIS HOWARD DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5001 STATESMAN DR, IRVING, TX 75063-2414
(877) 465-9163
Mailing address
121 PENHURST ST, ROCHESTER, NY 14619-1519
(585) 733-6094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007669
NY
225200000X
Physical Therapy Assistant
2081673
TX
225200000X
Physical Therapy Assistant
AT9670
CA
225200000X
Physical Therapy Assistant
PTA22988
FL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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