Individual
CHARLES J VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5160 BORGEN BLVD STE 101, GIG HARBOR, WA 98332-8809
(253) 853-4000
Mailing address
4717 146TH ST NW, GIG HARBOR, WA 98332-9086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/19/2017
Last updated
09/01/2022
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