Individual
AMY VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 SW ENGLEWOOD ST, PORT SAINT LUCIE, FL 34953-4940
(561) 762-8606
Mailing address
3425 SW ENGLEWOOD ST, PORT SAINT LUCIE, FL 34953-4940
(561) 762-8606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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