Healthcare Provider Details

I. General information

NPI: 1841836772
Provider Name (Legal Business Name): NATALIA BARNES FUSCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR
ROSEDALE MD
21237-3901
US

IV. Provider business mailing address

714 FRANS DR
ABINGDON MD
21009-1447
US

V. Phone/Fax

Practice location:
  • Phone: 786-514-1402
  • Fax:
Mailing address:
  • Phone: 443-777-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA5867
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: