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1316520547
DEREK BROTHERTON
CAMDEN, ME
NPI
1316520547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
DEREK BROTHERTON PTA
105 MECHANIC ST
CAMDEN, ME 04843-1811
Phone number: 207-236-4197
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Mailing Address
DEREK BROTHERTON PTA
8 MARVIN LN
JEFFERSON, ME 04348-3555
Phone number: 207-215-4521
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