=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619804895
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIELA SHARTOUNY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2026
-----------------------------------------------------
Last Update Date | 05/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5056 SARA CREEK WAY
-----------------------------------------------------
City | SUGAR HILL
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30518-7867
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-245-1048
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5056 SARA CREEK WAY
-----------------------------------------------------
City | SUGAR HILL
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30518-7867
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 18442
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------