Individual
EMMA VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
648 CRESTWOOD BLVD, COVINGTON, LA 70433
(985) 805-2555
Mailing address
648 CRESTWOOD BLVD, COVINGTON, LA 70433-8261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06843
LA
Other
Enumeration date
10/31/2018
Last updated
08/23/2019
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