Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | ||
N | 226300000X | Kinesiotherapist |
NPI | 1376119636 |
---|---|
Provider Name | Dr. Alberto Friedmann |
First Address | Saint Louis, MO 63101-1358 |
Second Address | Saint Louis, MO 63101-1358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2021 |
Last Update Date | 27/05/2021 |