Provider Demographics
NPI:1467245332
Name:DRAPAC, MARTHA LYNN (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:LYNN
Last Name:DRAPAC
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 WINNBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-7902
Mailing Address - Country:US
Mailing Address - Phone:952-693-6429
Mailing Address - Fax:
Practice Address - Street 1:65 SHENANDOAH DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:DALEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24083-3205
Practice Address - Country:US
Practice Address - Phone:540-591-7514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119010938225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist