Individual
SHANNON VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
(801) 471-3717
Mailing address
13575 W MCDOWELL RD, GOODYEAR, AZ 85395-2604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008027
AZ
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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