Individual
DR. HEATHER LYNN DIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
368 DORSET ST, STE 3, SOUTH BURLINGTON, VT 05403-6236
(802) 864-4959
Mailing address
368 DORSET ST, STE 3, SOUTH BURLINGTON, VT 05403-6236
(802) 864-4959
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0000998
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006-0000998
LICENSCE
VT
05
—
OVN1626
—
VT
Enumeration date
12/17/2006
Last updated
03/25/2016
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