| Organization Name: | ROWANSOM NUTRITIONAL THERAPY |
| NPI Number: | 1609164995 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICIER) |
| Mailing Address: | 42 E Laurel Rd Udp#2500 Stratford |
| State: | NJ US |
| Postal Code: | 080841354 |
| Phone Number: | 8565662700 |
| Fax Number: | 8565666873 |
| NPI Enumeration Date: | 07/20/2011 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |