JAYME ELLEN VAUGHAN

GREEN BAY, WI
NPI1790110104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2041-19)
Enumeration Date2013-09-05
Last Update Date2022-09-09
Business Address
Mrs. JAYME ELLEN VAUGHAN PTA
1040 PILGRIM WAY
GREEN BAY, WI 54304-5028
Phone number: 920-499-1481
Mailing Address
Mrs. JAYME ELLEN VAUGHAN PTA
1307 VALLEY VIEW RD
GREEN BAY, WI 54304-4036
Phone number: 920-851-3432