IndividualActive
Derek Brotherton, PTA
NPI 1316520547 · Physical Therapy Assistant · Camden, ME
Provider details
- NPI number
- 1316520547
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
105 Mechanic St
Camden, ME 04843-1811
Phone: (207) 236-4197
Approximate (ZIP-level) locationGet directions
Mailing address
8 Marvin Ln
Jefferson, ME 04348-3555
Registry dates
- Enumerated
- 2021-05-05
- Last updated
- 2021-05-05
- Certified
- 2021-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.