Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON DEDERICH, MPT, MS, ATC
ActiveBRANDON DEDERICH, MPT, MS, ATC is a Physical Therapy Assistant healthcare provider located in MOORPARK, California. NPI 1912976853 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOORPARK, CA
Registration Details
- NPI Number
- 1912976853
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.240897772622 yrs)
- Last Updated
- Aug 1, 2022
- License
-
26864 (CA)
Practice Information
- Address
-
144 W LOS ANGELES AVE STE 110MOORPARK, CA, 930214218Browse CA providers · Browse ZIP 93021
- Phone
- 8055521915
- Fax
- 8055521991
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MOORPARK, CA
| Name | Credential | NPI |
|---|---|---|
| DAVE FACIANA | DPT, SCS, CSCS | 1184640880 |
| MR. MATTHEW JON MIGUELENA | RPT | 1790886430 |
| MR. JEFFREY RAYMOND VARGO IX | PT | 1134249428 |
| SHANNON JOHNSON | MSPT | 1104069046 |
| JAMES B VARGO III | MPT | 1821347576 |
| MR. CHESTER LIN | P.T. | 1134546351 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.