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Individual

REBECCA VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1890 STAR SHOOT PKWY, LEXINGTON, KY 40509-4566
(859) 333-8147
Mailing address
3225 HIGHWAY 2003, ANNVILLE, KY 40402-9773
(606) 594-2890

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134673
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134673
KY STATE OCCUPATIONAL THERAPY LICENSE NUMBER
KY
Enumeration date
08/27/2019
Last updated
08/27/2019
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