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Organization
VERMONT CENTER FOR OCCUPATIONAL REHABILIATION
Active
Organization
VERMONT CENTER FOR OCCUPATIONAL REHABILIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUSSELL JOHANSSON D.O. (OSTEOPATHIC PHYSICIAN)
(802) 878-9700
Entity
Organization
Contact information
Practice address
67 LINCOLN ST, ESSEX JUNCTION, VT 05452-3235
(802) 878-9700
(802) 878-9966
Mailing address
67 LINCOLN ST, ESSEX JUNCTION, VT 05452-3235
(802) 878-9700
(802) 878-9966
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
032.0000304
VT
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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