Doctor Name: | MS. THERESA MARIE MANEGRE |
NPI Number: | 1841491909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 2529 |
Business Practice Address: | 680 Centre St Brockton, MA - 023023308 |
Business Phone Number: | 5089417000 |
Business Fax Number: | 5089416337 |
Mailing Address: | 680 Centre St, BROCKTON |
State: | MA |
Postal Code: | 023023308 |
Phone Number: | 5089417000 |
Fax Number: | 5089416337 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 02/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |