Provider Demographics
NPI:1174836225
Name:THOMAS, REBECCA HELENE (RD,LDN)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:HELENE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 GARRISON CIR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2546
Mailing Address - Country:US
Mailing Address - Phone:609-529-4897
Mailing Address - Fax:
Practice Address - Street 1:3322 GARRISON CIR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2546
Practice Address - Country:US
Practice Address - Phone:443-402-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2893133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered