Provider Demographics
NPI:1902060973
Name:FRIEDMAN, BASSHEVA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:BASSHEVA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SHEVY
Other - Middle Name:
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:3502 BONFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5632
Mailing Address - Country:US
Mailing Address - Phone:410-929-3564
Mailing Address - Fax:
Practice Address - Street 1:3502 BONFIELD RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5632
Practice Address - Country:US
Practice Address - Phone:410-929-3564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21835225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist