NPI 1205568953
Gabrielle Vaughan, COTAL
Practice location
- Address
- 1265 Union Ave Fl 10, Memphis, TN 38104-3415
- Phone
- (901) 545-6240
- Mailing address
- 10504 Stephenson Ln, Olive Branch, MS 38654-5126
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1205568953
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jun 2022
- Record last updated
- 29 Jun 2022
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.