Individual
GABRIELLE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1265 UNION AVE FL 10, MEMPHIS, TN 38104-3415
(901) 545-6240
Mailing address
10504 STEPHENSON LN, OLIVE BRANCH, MS 38654-5126
(901) 633-0569
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3797
TN
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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