Provider Demographics
NPI:1780571778
Name:DRAPEAU DREW, JUANITA Y
Entity type:Individual
Prefix:
First Name:JUANITA
Middle Name:Y
Last Name:DRAPEAU DREW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUANITA
Other - Middle Name:Y
Other - Last Name:DRAPEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:46 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-2936
Mailing Address - Country:US
Mailing Address - Phone:860-508-3278
Mailing Address - Fax:860-508-3278
Practice Address - Street 1:46 PARKER ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-2936
Practice Address - Country:US
Practice Address - Phone:860-508-3278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000432224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant