IndividualActive
Brandon Frederick, DPT
NPI 1861907289 · Geriatric Physical Therapist · Wayne, PA
Provider details
- NPI number
- 1861907289
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT026555 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
999 Old Eagle School Rd Ste 106
Wayne, PA 19087-1707
Phone: (877) 407-3422
Approximate (ZIP-level) locationGet directions
Mailing address
7 Carnegie Plz
Cherry Hill, NJ 08003-1000
Registry dates
- Enumerated
- 2017-12-07
- Last updated
- 2017-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.