Doctor Name: | LYNN C VAUGHAN |
NPI Number: | 1619970514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 001746 |
Business Practice Address: | 350 Center St Ste 104 Wallingford, CT - 064924243 |
Business Phone Number: | 2032652500 |
Business Fax Number: | 2032659222 |
Mailing Address: | 350 Center St, Ste 104 WALLINGFORD |
State: | CT |
Postal Code: | 064924243 |
Phone Number: | 2032652500 |
Fax Number: | 2032659222 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 10/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 001746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |