Individual
MR. BRIAN RANDELL VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
33217 KENNEDY CT, TEMECULA, CA 92592-3313
(619) 884-0132
(951) 695-9518
Mailing address
33217 KENNEDY CT, TEMECULA, CA 92592-3313
(619) 884-0132
(951) 695-9518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23468
CA
Other
Enumeration date
09/21/2006
Last updated
11/01/2017
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