Organization
VAUGHN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON PHYSICAL VAUGHN DPT (PHYSICAL THERAPIST)
(803) 351-9906
Entity
Organization
Contact information
Practice address
1825 LAUREL ST, COLUMBIA, SC 29201-2626
(803) 351-9906
Mailing address
1825 LAUREL ST, COLUMBIA, SC 29201-2626
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6367
SC
Other
Enumeration date
02/24/2014
Last updated
03/05/2014
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