Provider Demographics
NPI:1194973164
Name:ALBRECHT DRAIN, JOCELYNE ADELE (PTA)
Entity type:Individual
Prefix:MS
First Name:JOCELYNE
Middle Name:ADELE
Last Name:ALBRECHT DRAIN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7018 GRAND ESTUARY TRL
Mailing Address - Street 2:UNIT 104
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-8296
Mailing Address - Country:US
Mailing Address - Phone:724-816-9948
Mailing Address - Fax:
Practice Address - Street 1:12311 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:878-332-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA26535225200000X
PATE007859225200000X
PATE1000354225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant