| NPI | 1861635138 |
|---|---|
| Former Name | JUSTIN DRAKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 5684) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5684) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2025-05-16 |