Doctor Name: | PORSHA R DRAPER |
NPI Number: | 1184833949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASE MANAGER |
License Number: | |
Business Practice Address: | 555 W Redondo Beach Blvd Suit 204 Gardena, CA - 902481612 |
Business Phone Number: | 3103526422 |
Business Fax Number: | 3103526480 |
Mailing Address: | 20742 Norwalk Blvd, LAKEWOOD |
State: | CA |
Postal Code: | 907151542 |
Phone Number: | 5624026912 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 10/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |