Individual
JOSHUA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10823 SE 51ST AVE, BELLEVIEW, FL 34420-3192
(618) 663-5965
Mailing address
10823 SE 51ST AVE, BELLEVIEW, FL 34420-3192
(618) 663-5965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT26490
FL
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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