Individual
MRS. AMY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
3815 E. MAIN STREET., SUITE B, ST. CHARLES, IL 60174
(630) 584-7530
Mailing address
877 QUIN CT APT 101, NAPERVILLE, IL 60563-9293
(630) 596-3662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008463
IL
Other
Enumeration date
09/26/2008
Last updated
02/25/2009
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