Individual
ANNA C VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1507 W KNAPP ST UNIT 1, RICE LAKE, WI 54868-1384
(715) 855-0408
(715) 855-0409
Mailing address
517 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 855-0408
(715) 855-0409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4574
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500622884
—
OR
01
—
P01322042
RR
OR
Enumeration date
04/24/2007
Last updated
09/25/2023
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