MEDICARE: DR. ALBERTO FRIEDMANN PH.D.

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	226300000X	Kinesiotherapist
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1376119636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERTO FRIEDMANN PH.D.

Provider Business Mailing Address
First Line	:	1014 LOCUST ST APT 1106
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63101-1358
Country	:	US
Telephone Number	:	618-580-8453
Fax Number	:

Provider Business Practice Location Address
First Line	:	1014 LOCUST ST APT 1106
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63101-1358
Country	:	US
Telephone Number	:	618-580-8453
Fax Number	:

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

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	05/27/2021

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