Provider Demographics
NPI:1588944656
Name:UHLL, BRENDEN PATRICK (DPT)
Entity type:Individual
Prefix:
First Name:BRENDEN
Middle Name:PATRICK
Last Name:UHLL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E TRENTON AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1004
Mailing Address - Country:US
Mailing Address - Phone:215-295-4538
Mailing Address - Fax:215-295-3895
Practice Address - Street 1:1 E TRENTON AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-1004
Practice Address - Country:US
Practice Address - Phone:215-295-4538
Practice Address - Fax:215-295-3895
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021504225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist