Individual
REBECCA LYNN COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 798-6134
Mailing address
1307 82ND ST NW, BRADENTON, FL 34209-9566
(941) 798-6134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3936
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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