Individual
BRYAN VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 QUEENS WAY, APT E1, MILTON, WA 98354
(406) 581-7438
Mailing address
2830 QUEENS WAY, APT E1, MILTON, WA 98354
(406) 581-7438
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60309334
WA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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