Provider Demographics
NPI:1821064320
Name:BARBOSA, SHARON DONATO (ATC, CSCS)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:DONATO
Last Name:BARBOSA
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:MARIE
Other - Last Name:DONATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, CSCS
Mailing Address - Street 1:2707 1/2 INGLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7628
Mailing Address - Country:US
Mailing Address - Phone:443-827-1832
Mailing Address - Fax:
Practice Address - Street 1:2707 1/2 INGLEWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234
Practice Address - Country:US
Practice Address - Phone:443-827-1832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer