Individual
PETA VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.S
Contact information
Practice address
535 W. 4TH STREET APT. 201, LONG BEACH, CA 90802
(805) 905-1785
Mailing address
535 W 4TH ST APT 201, LONG BEACH, CA 90802-2187
(805) 905-1785
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10099
CA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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