Provider Demographics
NPI:1477318350
Name:HUGHES, BRENDAN PATRICK (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRENDAN
Middle Name:PATRICK
Last Name:HUGHES
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 1:6427 WILBEN RD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2651
Mailing Address - Country:US
Mailing Address - Phone:443-310-5360
Mailing Address - Fax:
Practice Address - Street 1:14201 LAUREL PARK DR STE 201
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-497-2385
Practice Address - Fax:301-490-7860
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29839225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist