DERL TREVOR HAWK

PADUCAH, KY
NPI1285507723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  296346)
Enumeration Date2025-09-29
Last Update Date2025-10-24
Business Address
DERL TREVOR HAWK
1301 BROADWAY ST
PADUCAH, KY 42001-2503
Phone number: 270-442-9502
Mailing Address
DERL TREVOR HAWK
1301 BROADWAY ST
PADUCAH, KY 42001-2503
Phone number: