Derek Brotherton, PTA

NPI #1316520547 in Camden, Maine

Provider Information

NPI Number: 1316520547
Entity Type: Individual
Name: Derek Brotherton, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 5, 2021
Last Updated: May 5, 2021

Practice Location

Address: 105 MECHANIC ST
City: Camden
State: Maine
ZIP Code: 04843-1811
Phone: (207) 236-4197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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