| NPI | 1871389197 |
|---|---|
| Former Name | KAYLA SUZANNE VAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 6491) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306605402) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |