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Organization
BACK IN ACTION CHIROPRACTIC, PLLC
Active
Organization
BACK IN ACTION CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI R DODGE DC, CCSP (OWNER/CHIROPRACTOR)
(802) 274-2302
Entity
Organization
Contact information
Practice address
118 TAMARACK RD, EAST BURKE, VT 05832
(802) 274-2302
Mailing address
PO BOX 307, LYNDONVILLE, VT 05851-0307
(802) 274-2302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0060001202
VT
111NS0005X
Sports Physician Chiropractor
0060001202
VT
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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