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 1:17021 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2408
Mailing Address - Country:US
Mailing Address - Phone:954-399-3241
Mailing Address - Fax:954-333-1416
Practice Address - Street 1:17021 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2408
Practice Address - Country:US
Practice Address - Phone:954-399-3241
Practice Address - Fax:954-333-1416
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030391-1225100000X
FLPT29296225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist