Brandon Dederich, MPT, MS, ATC
NPI #1912976853 in Moorpark, California
Provider Information
- NPI Number
- 1912976853
- Entity Type
- Individual
- Name
- Brandon Dederich, MPT, MS, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MPT, MS, ATC
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 144 W LOS ANGELES AVE STE 110
- City
- Moorpark
- State
- California
- ZIP Code
- 93021-4218
- Phone
- (805) 552-1915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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