Healthcare Provider Details

I. General information

NPI: 1629400957
Provider Name (Legal Business Name): ANNA ROSE BYRNE FRIEDMAN PT, DPT, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 DEXTER AVE N
SEATTLE WA
98109-3582
US

IV. Provider business mailing address

7202 33RD AVE NW STE 300
SEATTLE WA
98117-4707
US

V. Phone/Fax

Practice location:
  • Phone: 425-450-9474
  • Fax: 425-452-0704
Mailing address:
  • Phone: 206-465-6836
  • Fax: 425-452-0704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT603491768
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT60341768
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: