Provider Demographics
NPI:1710416854
Name:MOLINARO, SARAH (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MOLINARO
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13916 GREEN BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1316
Mailing Address - Country:US
Mailing Address - Phone:410-493-4493
Mailing Address - Fax:
Practice Address - Street 1:11232 FALLS RD
Practice Address - Street 2:
Practice Address - City:BROOKLANDVILLE
Practice Address - State:MD
Practice Address - Zip Code:21022-1405
Practice Address - Country:US
Practice Address - Phone:410-823-6323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00004412255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer