Individual
DEREK BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
105 MECHANIC ST, CAMDEN, ME 04843-1811
(207) 236-4197
Mailing address
8 MARVIN LN, JEFFERSON, ME 04348-3555
(207) 215-4521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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