Individual
MELANIE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
437A HIGHWAY 601 S, LUGOFF, SC 29078-8918
(803) 900-4020
Mailing address
145 SOUTH ST APT 2, WALPOLE, MA 02081-3248
(617) 840-9583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18445
MA
225100000X
Physical Therapist
Primary
9608
SC
225100000X
Physical Therapist
P18868
NC
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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