Spencer Sage Vaughn
Physical Therapist in Sanford, NC. Individual provider (NPI-1).
NPI number1164069423
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1164069423
- Entity type
- Individual (NPI-1)
- Name
- Spencer Sage Vaughn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2019
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P1256 | NC | Yes |
Practice location
2919 Beechtree Dr Ste 145Sanford, NC 27330-6934
Phone 919-774-1595
Mailing address
1714 Canterbury RdRaleigh, NC 27608-1110
Phone 919-774-1595
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All 47 Physical Therapist providers in Sanford · All 1,337 providers in Sanford
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