Individual
MRS. LAKIN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6940 HARRIS PKWY, FORT WORTH, TX 76132-4253
(817) 289-5960
Mailing address
4809 FM 2280, CLEBURNE, TX 76031-7917
(512) 751-7885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120231
TX
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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