Individual
TOYIA VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1777 NE INTERSTATE 410 LOOP, #1009, SAN ANTONIO, TX 78217
(210) 428-0899
Mailing address
4114 MEDICAL DR APT 6305, SAN ANTONIO, TX 78229-5649
(336) 266-9326
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
66967
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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