Individual
DR. BRANDON EDWARD DEROUCHIE
Active
Individual
DR. BRANDON EDWARD DEROUCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
049257-01
NY
225100000X
Physical Therapist
Primary
P23351
NC
225100000X
Physical Therapist
PT41183
FL
Other
Enumeration date
08/29/2022
Last updated
08/05/2024
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