Mary Vaughn, PT

NPI #1013042605 in Maryville, Illinois

Provider Information

NPI Number: 1013042605
Entity Type: Individual
Name: Mary Vaughn, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6800 STATE ROUTE 162
City: Maryville
State: Illinois
ZIP Code: 62062-8500
Phone: (618) 288-5711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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