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Dr. Alexander Charles Drake, DPT

Physical Therapist in Racine, WI. Individual provider (NPI-1).

NPI number1750832275
StatusActive
Last updated in NPPESOct 28, 2016

Details

NPI
1750832275
Entity type
Individual (NPI-1)
Name
Dr. Alexander Charles Drake
Credential
DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 19, 2016
Last updated
Oct 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist13637-24WIYes

Practice location

1300 S Green Bay Rd
Suite #205
Racine, WI 53406-4469

Phone 262-898-3930 · Fax 262-898-3933

Mailing address

1809 Shepherd Ct
Apartment# 206
Waukesha, WI 53186-5380

Phone 908-642-1629

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