MISS Laura L Drake, COTA

NPI #1720101603 in Salem, New Jersey

Provider Information

NPI Number: 1720101603
Entity Type: Individual
Name: MISS Laura L Drake, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: COTA
Enumeration Date: Apr 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 123 HAINES NECK RD
City: Salem
State: New Jersey
ZIP Code: 08079-4516
Phone: (856) 299-7779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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