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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