Individual
MEREDITH VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,CHT
Contact information
Practice address
1700 ADAMS AVE, SUITE 103, COSTA MESA, CA 92626-4865
(714) 556-2288
(714) 435-1745
Mailing address
1700 ADAMS AVE, SUITE 103, COSTA MESA, CA 92626-4865
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1791
CALIFORNIA BOARD LICENSE
CA
Enumeration date
07/31/2008
Last updated
07/31/2008
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