Individual
DONNA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 PALM ST, INGLIS, FL 34449-9449
(407) 325-4162
Mailing address
162 PALM ST, INGLIS, FL 34449-9449
(407) 325-4162
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA11686
FLORIDA STATE LICENSE
FL
Enumeration date
09/27/2013
Last updated
09/27/2013
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