| Doctor Name: | BROOKE VAUGHAN |
| NPI Number: | 1477920825 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT, NCS |
| License Number: | 012221 |
| Business Practice Address: | 131 Prospect Hl Pomeroy, OH - 457691065 |
| Business Phone Number: | 7405910092 |
| Business Fax Number: | |
| Mailing Address: | 131 Prospect Hl, POMEROY |
| State: | OH |
| Postal Code: | 457691065 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 012221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |