Provider Demographics
NPI:1821744467
Name:DRAPER, PAIGE (OTR/L)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:DRAPER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3603 W GRANADA ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-6917
Mailing Address - Country:US
Mailing Address - Phone:813-399-0722
Mailing Address - Fax:
Practice Address - Street 1:3801 S MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-1211
Practice Address - Country:US
Practice Address - Phone:813-399-0722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics