Individual
AUDREY ELIZABETH VAUGHN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT22789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891782500
—
FL
Enumeration date
01/11/2007
Last updated
04/28/2020
Update your record
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