MRS. Tasha Renee Drake, PT

NPI #1194076109 in Melrose Park, Illinois

Provider Information

NPI Number: 1194076109
Entity Type: Individual
Name: MRS. Tasha Renee Drake, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 1, 2012
Last Updated: Oct 1, 2012

Practice Location

Address: 1111 SUPERIOR ST
Address 2: LL
City: Melrose Park
State: Illinois
ZIP Code: 60160-4138
Phone: (708) 938-7408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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