Provider Demographics
NPI:1275154049
Name:CHAU, SARAH TERESA (RDN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:TERESA
Last Name:CHAU
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CAMELOT RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1632
Mailing Address - Country:US
Mailing Address - Phone:603-548-6813
Mailing Address - Fax:
Practice Address - Street 1:4 CAMELOT RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1632
Practice Address - Country:US
Practice Address - Phone:603-548-6813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH86131668133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered