Individual
MS. BEVERLY ANNE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(901) 487-5343
Mailing address
251 EVELYN RD, MARION, AR 72364-3045
(901) 487-5343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1559
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U970
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/21/2007
Last updated
08/22/2008
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