Drake, Julieann

Drake, Julieann is an individual health care provider with primary practice located at 1885 S 14Th St , Fernandina Beach FL 32034-3033. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Drake, Julieann can be contacted via phone (904) 277-4449.

Contact Information

Primary practice address
1885 S 14Th St Fernandina Beach FL 32034-3033
Phone: (904) 277-4449
Fax: (904) 277-4177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA26654 Florida

Profile Details

NPI number 1821445842
LBN Legal business name Drake, Julieann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2016
Last updated Jun 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821445842 NPPES
Florida Other AM305 MEDICARE PTAN
Florida Other DO0550 MEDICARE PTAN
Florida Other Y907M MEDICARE PTAN
Florida Other Y327Q MEDICARE PTAN

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