MEDICARE: MS. DONITA YVETTE VALENTINE A.T.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	V453149968146	MD

General Provider Information

NPI Number	:	1699768085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONITA YVETTE VALENTINE A.T.C

Provider Business Mailing Address
First Line	:	210 WELSH HILL RD
Second Line	:	APT 2
City	:	FROSTBURG
State	:	MD
Zip	:	21532-2332
Country	:	US
Telephone Number	:	301-412-8797
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BRADDOCK RD
Second Line	:	CORDTS PHYSICAL EDUCATION CENTER
City	:	FROSTBURG
State	:	MD
Zip	:	21532-2366
Country	:	US
Telephone Number	:	301-687-4208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1629920079 — ELIZABETH MARIE DURST LMSW
Practice Location Address:

125 FROST AVE
FROSTBURG, MD
21532-1621

Practice Phone: 240-522-7982
Practice Fax:

1649264094 — MR. ANTHONY J ZALOGA ATC
Practice Location Address:

101 BRADDOCK RD , FROSTBURG STATE UNIVERSITY
FROSTBURG, MD
21532-2303

Practice Phone: 301-687-4497
Practice Fax: 301-687-4780

1730164492 — ISAGANI D LAURENCIO M.D.
Practice Location Address:

10701 NEW GEORGES CREEK RD SW
FROSTBURG, MD
21532-1457

Practice Phone: 301-689-3229
Practice Fax: 301-689-1129

1306825484 — DR. JACQUELINE RENEE PALAISA DMD, MS
Practice Location Address:

151 BISHOP MURPHY DR , SUITE B
FROSTBURG, MD
21532-1329

Practice Phone: 301-689-9111
Practice Fax:

1396715769 — DR. JESUS HO TAN MD
Practice Location Address:

4 S BROADWAY
FROSTBURG, MD
21532-1708

Practice Phone: 301-689-3138
Practice Fax: 301-689-9561

1447227806 — ROGER LEE BENNETT
Practice Location Address:

83 MEADOW RD
FROSTBURG, MD
21532-2313

Practice Phone: 301-689-6092
Practice Fax:

Directions to “ MS. DONITA YVETTE VALENTINE A.T.C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.