Individual
MRS. THERESA ANN SAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MBA, LDN
Contact information
Practice address
201 MIDLAND AVE, WAYNE, PA 19087-4108
(610) 687-3132
Mailing address
201 MIDLAND AVE, WAYNE, PA 19087-4108
(610) 687-3132
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002004
PA
Other
Enumeration date
06/09/2006
Last updated
07/11/2011
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