NPI 1316520547
Derek Brotherton, PTA
Practice location
- Address
- 105 Mechanic St, Camden, ME 04843-1811
- Phone
- (207) 236-4197
- Mailing address
- 8 Marvin Ln, Jefferson, ME 04348-3555
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1316520547
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 May 2021
- Record last updated
- 5 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.