NPI 1003108762

Anda Michelle Vaughn, PT

Practitioner Physical Therapist Mesa, AZ

Practice location

Address: 5358 E Baseline Road, Mesa, AZ 85206
Phone: (480) 699-9224
Mailing address: 7214 E Kael St, Mesa, AZ 85207-1917

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 8683 (AZ)

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Registry record

NPI: 1003108762
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2011
Record last updated: 12 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.