Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Drake

Individual provider Occupational Therapy Assistant · NPI 1790523405

Kimberly Drake is an Occupational Therapy Assistant in State College, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
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Practice location Address checks out

121 Havershire Blvd
State College, PA 16803-4610
Phone: (814) 308-0352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OP010555 (PA)

Record details

NPI number1790523405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address846 Hasenflu Dr, Hermitage, PA 16148-2825

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