Individual
BRANDON VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4440 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7336
(575) 222-0188
(575) 652-4142
Mailing address
4440 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7336
(575) 222-0188
(575) 652-4142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2024-0204
TX
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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