Carrie Lynn Friedman, PT

Individual provider Active NPI Physical Therapist · Wauchula, FL

NPI 1881804045 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1881804045
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT22903 (FL)
Practice address
1962 Vandolah Rd
Wauchula, FL 33873-8726
Phone
(863) 767-4409
Fax
(863) 773-9293
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT22903FLMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22903 FL Yes

Addresses

Primary practice location

1962 Vandolah Rd
Wauchula, FL 33873-8726

Mailing address

8367 38TH Street Cir E
Unit 305
Sarasota, FL 34243-3672
Phone (941) 962-8866

Other providers in Wauchula, FL

All providers in Wauchula, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.