Individual
LISA LEIGH VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
(870) 240-8505
Mailing address
2602 S 18TH ST, PARAGOULD, AR 72450-5830
(870) 215-8012
(870) 240-8505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1595
AR
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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