Individual
MR. JOSHUA KANE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7000
Mailing address
1156 US HIGHWAY 412, CARDWELL, MO 63829-7120
(870) 450-5302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4243
AR
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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