Fred Talentino, ATC
Individual provider Active NPI Athletic Trainer · Marriottsville, MD
NPI 1649397605 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649397605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 12100 Woodford Dr
Marriottsville, MD 21104-1454 - Phone
- (410) 313-5568
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
12100 Woodford Dr
Marriottsville, MD 21104-1454
Mailing address
2118 Beckett Way
Woodstock, MD 21163-1359
Phone (410) 313-8595
Other providers in Marriottsville, MD
- Steven A Scurnick
- Julie Elizabeth Sechler
- Mervat H Sewilam
- Sport & Family Physical Therapy, LLC.
- Nathan Stock
- Kelsey Tindall
- Jeffrey Alan Torockio
- Trinity Resources Group, Inc.
- Roza Tsimberg
- Michael Vires
All providers in Marriottsville, MD · Athletic Trainer in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.