Provider Demographics
NPI:1376119636
Name:FRIEDMANN, ALBERTO (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:FRIEDMANN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 LOCUST ST APT 1106
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1358
Mailing Address - Country:US
Mailing Address - Phone:618-580-8453
Mailing Address - Fax:
Practice Address - Street 1:1014 LOCUST ST APT 1106
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1358
Practice Address - Country:US
Practice Address - Phone:618-580-8453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist