Provider Demographics
NPI:1306389705
Name:BARBOSA, SARAH ROSEMARY (ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSEMARY
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12440 CAMPO RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-2331
Mailing Address - Country:US
Mailing Address - Phone:401-742-4081
Mailing Address - Fax:
Practice Address - Street 1:12440 CAMPO RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-2331
Practice Address - Country:US
Practice Address - Phone:401-742-4081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer