Individual
BRANDI VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0188
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9991
(304) 263-0188
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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