MEDICARE: SHARON FREUNDLICH P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251G0304X	Geriatric Physical Therapist	011695-1	NY
2	2251N0400X	Neurology Physical Therapist	011695-1	NY
3	2251P0200X	Pediatric Physical Therapist	011695-1	NY
4	2251X0800X	Orthopedic Physical Therapist	011695-1	NY

General Provider Information

NPI Number	:	1851535843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON FREUNDLICH P.T

Provider Business Mailing Address
First Line	:	1 SANS BERRY LN
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1307
Country	:	US
Telephone Number	:	845-656-2381
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 SANS BERRY LN
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1307
Country	:	US
Telephone Number	:	845-656-2381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	04/22/2009

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