Provider Demographics
NPI:1831255686
Name:FRIEDMAN, KAREN ELYCE (PT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELYCE
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13007 MIDDLEVALE LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3346
Mailing Address - Country:US
Mailing Address - Phone:301-873-2011
Mailing Address - Fax:
Practice Address - Street 1:WALTER REED ARMY MEDICAL CTR ATTN MCHL-MAO-C
Practice Address - Street 2:6900 GEORGIA AVE., NW,
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-0912
Practice Address - Fax:202-782-3539
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist