Individual
PEGGY VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 FULTON ST, PORT CLINTON, OH 43452-9297
(419) 734-5506
Mailing address
3301 W. LEUTZ RD, OAK HARBOR, OH 43449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3221
OH
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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