Provider Demographics
NPI:1326445644
Name:KASH, BRENDAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRENDAN
Middle Name:
Last Name:KASH
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 LOMBARD ST APT 206
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1013
Mailing Address - Country:US
Mailing Address - Phone:570-952-5089
Mailing Address - Fax:856-234-3014
Practice Address - Street 1:605 GLEN AVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1125
Practice Address - Country:US
Practice Address - Phone:856-335-5060
Practice Address - Fax:856-234-3014
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01558900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist