Provider Demographics
NPI:1871189498
Name:DRAKE, RINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:
Last Name:DRAKE
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 1:6 SHADWELL RD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2526
Mailing Address - Country:US
Mailing Address - Phone:603-321-6693
Mailing Address - Fax:
Practice Address - Street 1:294 EAST DUNSTABLE RD.
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-0306
Practice Address - Country:US
Practice Address - Phone:603-966-1760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics