Individual
KRISTEN PATRICE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
102 HINES ROAD, NE, SUITE 3, CALHOUN, GA 30701-9383
(706) 602-9655
Mailing address
14 NORMAN LN NW, ROME, GA 30165-9610
(423) 385-9378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005229
GA
Other
Enumeration date
03/02/2011
Last updated
12/10/2020
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