NPI 1164791935

Richelle Jeannine Drake, CLTMT

Practitioner Orthotic Fitter Van Nuys, CA

Practice location

Address: 15117 Haynes St., Van Nuys, CA 91411-1418
Phone: (818) 901-6555
Fax: (818) 901-6555

Registered specialties (3)

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Other Orthotic Fitter providers in California →

Specialist

Other Service Providers Taxonomy 174400000X

Other Specialist providers in California →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in California →

Registry record

NPI: 1164791935
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2011
Record last updated: 22 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.