# VERMONT CENTER FOR OCCUPATIONAL REHABILIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609128164
- **Authorized official:** DR. JOHN RUSSELL JOHANSSON D.O. (OSTEOPATHIC PHYSICIAN)
- **Authorized official phone:** (802) 878-9700

## Contact information

- **Practice address:** 67 LINCOLN ST, ESSEX JUNCTION, VT 05452-3235
- **Practice address phone:** (802) 878-9700
- **Practice address fax:** (802) 878-9966
- **Mailing address:** 67 LINCOLN ST, ESSEX JUNCTION, VT 05452-3235
- **Mailing address phone:** (802) 878-9700
- **Mailing address fax:** (802) 878-9966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 032.0000304 | VT | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 10/09/2012