Individual
ELISE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
Mailing address
167 FAIRWAY CIR, NORWALK, OH 44857-1902
(419) 706-6193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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