Individual
BRANDON FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
999 OLD EAGLE SCHOOL RD STE 106, WAYNE, PA 19087-1707
(877) 407-3422
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT026555
PA
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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