DEREK LEWIS BROCKMAN

SCOTTSVILLE, KY
NPI1972116002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  007992)
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
DEREK LEWIS BROCKMAN DPT
102 W MAPLE ST
SCOTTSVILLE, KY 42164-1134
Phone number: 270-239-6640
Mailing Address
DEREK LEWIS BROCKMAN DPT
PO BOX 2697
BOWLING GREEN, KY 42102-7697
Phone number:
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