Individual
ULANDY MARIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
105 FALLSTAFF RD, COLUMBIA, SC 29229-8068
(803) 464-6346
(866) 380-8786
Mailing address
105 FALLSTAFF RD, COLUMBIA, SC 29229-8068
(803) 464-6346
(866) 380-8786
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1705
SC
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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