Healthcare Provider Details

I. General information

NPI: 1821064320
Provider Name (Legal Business Name): SHARON DONATO BARBOSA A.T.C., C.S.C.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON MARIE DONATO A.T.C., C.S.C.S.

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 12/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 1/2 INGLEWOOD AVENUE
BALTIMORE MD
21234
US

IV. Provider business mailing address

2707 1/2 INGLEWOOD AVE
BALTIMORE MD
21234-7628
US

V. Phone/Fax

Practice location:
  • Phone: 443-827-1832
  • Fax:
Mailing address:
  • Phone: 443-827-1832
  • 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: