Individual
MRS. CHANTELLE M VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
569 SEARLS AVE, NEVADA CITY, CA 95959-3063
(539) 478-1933
Mailing address
569 SEARLS AVE, NEVADA CITY, CA 95959-3063
(539) 478-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34621
CA
2251X0800X
Orthopedic Physical Therapist
PT3289
HI
Other
Enumeration date
05/15/2008
Last updated
02/19/2019
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