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Individual

DR. LORI VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
175 GRANVILLE RD, SOUTHWICK, MA 01077-9666
(413) 221-0595
(413) 221-0595
Mailing address
175 GRANVILLE RD, SOUTHWICK, MA 01077-9666
(413) 221-0595

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002973
CT
225X00000X
Occupational Therapist
Primary
8689
MA

Other

Enumeration date
05/25/2017
Last updated
05/25/2017
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