Healthcare Provider Details

I. General information

NPI: 1578598264
Provider Name (Legal Business Name): ERIN CHRISTINE FOLEY ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 02/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 N CHARLES ST
BALTIMORE MD
21210-2404
US

IV. Provider business mailing address

6134 WHEATLAND RD
CATONSVILLE MD
21228-2762
US

V. Phone/Fax

Practice location:
  • Phone: 410-532-3586
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: