Individual
MS. HEATHER LYNN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3000 WILLISTON RD, SUITE 3, SOUTH BURLINGTON, VT 05403-6082
(802) 658-6092
(802) 863-9565
Mailing address
158 CANYON RD, COLCHESTER, VT 05446-6264
(802) 879-9500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002889
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006863
—
VT
Enumeration date
03/15/2007
Last updated
03/14/2013
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