Individual
DR. TERI RENEE DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
118 TAMARACK RD, EAST BURKE, VT 05832-9998
(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
Other
Enumeration date
06/03/2008
Last updated
05/28/2014
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