DEREK STOCKWELL

LOUISVILLE, KY
NPI1770020893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32003059A)
Enumeration Date2017-01-26
Last Update Date2017-01-26
Business Address
-- DEREK STOCKWELL C.O.T.A
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Mailing Address
-- DEREK STOCKWELL C.O.T.A
28998 DANIELSON DR
ELKHART, IN 46514-1140
Phone number: 616-635-1931