Individual
AMANDA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Mailing address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7769
AZ
2251P0200X
Pediatric Physical Therapist
7769
AZ
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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