Individual
CECILIA N VAUGHN-GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1395 MANTILLA AVE, HAYWARD, CA 94544-5039
(323) 740-0424
Mailing address
1395 MANTILLA AVE, HAYWARD, CA 94544-5039
(323) 740-0424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.008884
IL
225X00000X
Occupational Therapist
116568
TX
225X00000X
Occupational Therapist
Primary
12165
CA
Other
Enumeration date
05/23/2011
Last updated
10/05/2018
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