Thrive Nutrition of Ct, LLC
NPI #1720449184 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1720449184
- Entity Type
- Organization
- Organization Name
- Thrive Nutrition of Ct, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 199 OFFICE SPACE, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Mar 14, 2016
- Last Updated
- Mar 14, 2016
Practice Location
- Address
- 199 ETHAN ALLEN HWY
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-6212
- Phone
- (914) 320-3197
Authorized Official
- Name
- MS. RENA A BRUCKMAN, MS, RD
- Title
- NUTRITIONIST
- Phone
- (914) 320-3197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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