Individual
DEVITA VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3220 HOSPITAL DR, JUNEAU, AK 99801-7899
(907) 364-2663
Mailing address
3220 HOSPITAL DR, JUNEAU, AK 99801-7899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2450
AK
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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