Individual
MRS. CARRIE LYNN VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 PENNSLVANIA AVE WEST, WARREN, PA 16365
(814) 723-3408
Mailing address
1048 PENNSLVANIA AVE WEST, WARREN, PA 16365
(814) 723-3408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009381
PA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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