Provider Demographics
NPI:1093033631
Name:FRIEDMAN, RENA E (PT, MS, DPT)
Entity Type:Individual
Prefix:DR
First Name:RENA
Middle Name:E
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PT, MS, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2142 NE 123RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2902
Mailing Address - Country:US
Mailing Address - Phone:305-967-8976
Mailing Address - Fax:305-967-8863
Practice Address - Street 1:2142 NE 123RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2902
Practice Address - Country:US
Practice Address - Phone:305-967-8976
Practice Address - Fax:305-967-8863
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29296225100000X
NY030391-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist