Individual
ALYSE FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1212 YORK RD, SUITE C-101, LUTHERVILLE, MD 21093-6240
(410) 321-0377
(410) 821-7517
Mailing address
1212 YORK RD, SUITE C-101, LUTHERVILLE, MD 21093-6240
(410) 321-0377
(410) 821-7517
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
16873
MD
2251X0800X
Orthopedic Physical Therapist
Primary
16873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074734300
—
MD
01
—
472317
MAMSI
MD
01
—
P00202713
MEDICARE RAILROAD
MD
Enumeration date
06/30/2005
Last updated
08/06/2014
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