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1275049355
VAUGHN CHARLES ADLAM
VALLEY STREAM, NY
NPI
1275049355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: NY 018053)
Enumeration Date
2017-12-27
Last Update Date
2017-12-27
Business Address
VAUGHN CHARLES ADLAM OTR/L
21 BIRCH LN
VALLEY STREAM, NY 11581-1773
Phone number: 917-476-0595
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Mailing Address
VAUGHN CHARLES ADLAM OTR/L
9131 175TH ST
JAMAICA, NY 11432-5517
Phone number: 718-657-6363
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