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Organization
VAUGHN THERAPY GROUP LLC
Active
Organization
VAUGHN THERAPY GROUP LLC
Active
Other names
Onco Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE S GRAHAM PT, DPT, CLT (CEO/OWNER)
(571) 245-0205
Entity
Organization
Contact information
Practice address
14748 WINTERFIELD CT, CENTREVILLE, VA 20120-2977
(571) 245-0205
Mailing address
14748 WINTERFIELD CT, CENTREVILLE, VA 20120-2977
(571) 245-0205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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