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Individual

KATIE NICOLE VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
426 S ALABAMA ST STE 200, INDIANAPOLIS, IN 46225-3301
(317) 528-6804
(317) 865-5321
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31000124A
IN
225X00000X
Occupational Therapist
Primary
31005177A
IN
225X00000X
Occupational Therapist
4841026
WI

Other

Enumeration date
08/11/2010
Last updated
09/25/2023
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