NPI 1487820080 · live from the CMS NPI Registry
Patricia Ann Bebo, MS,RD,LDN
Dietitian, Registered in Brockton, MA. National Provider Identifier 1487820080, active.
NPI record
| NPI | 1487820080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 54 Rutland Sq, Suite 2, Brockton, MA 02301 |
| Practice phone | 508-846-9554 |
| Enumerated | May 2, 2008 |
| Last updated | May 2, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 210 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.