NPI 1124601935
Brandi Vaughan, CTRS
Practice location
- Address
- 510 Butler Ave, Martinsburg, WV 25405-9990
- Phone
- (304) 263-0188
- Mailing address
- 510 Butler Ave, Martinsburg, WV 25405-9991
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1124601935
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Apr 2021
- Record last updated
- 29 Apr 2021
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.