Individual
MARY JO ANNE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
E9598 CRIMSON CT, WETMORE, MI 49895-9015
(906) 450-3543
Mailing address
E9598 CRIMSON CT, WETMORE, MI 49895-9015
(906) 450-3543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001971
MI
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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