Individual
MS. AMANDA KAYE VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1806 N VAN BUREN ST, SUITE 110, WILMINGTON, DE 19802-3851
(302) 654-8142
(302) 654-8143
Mailing address
1806 N VAN BUREN ST, SUITE 110, WILMINGTON, DE 19802-3851
(302) 654-8142
(302) 654-8143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01158000
NJ
225100000X
Physical Therapist
Primary
J10001580
DE
225100000X
Physical Therapist
PT015139
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770559247
—
DE
Enumeration date
02/24/2006
Last updated
05/30/2014
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