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Organization
MOVEMENT FIRST
Active
Organization
MOVEMENT FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON DEDERICH MPT, MS, ATC (OWNER, PHYSICAL THERAPIST)
(949) 261-6101
Entity
Organization
Contact information
Practice address
2290 SE BRISTOL ST, NEWPORT BEACH, CA 92660-0746
(949) 261-6101
(949) 261-6126
Mailing address
2290 SE BRISTOL ST, NEWPORT BEACH, CA 92660-0746
(949) 261-6101
(949) 261-6126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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