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Individual

FELICIA DENISE VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 824-6686
(870) 824-6688
Mailing address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1780
AR

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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