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Contact Information

BRANDON FREDERICK, DPT
999 OLD EAGLE SCHOOL RD STE 106
WAYNE, PA19087-1707
 Phone: 877-407-3422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRANDON FREDERICK · (Male)

NPI # 1861907289
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 12/07/2017
Last updated 12/07/2017 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PT026555
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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