Individual
MISS THERA VIRGINIA VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
245 CAHABA VALLEY PKWY, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
2525 HIGHLAND AVE S, APARTMENT F6, BIRMINGHAM, AL 35205-2458
(205) 328-4480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2598
AL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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