Healthcare Provider Details

I. General information

NPI: 1881504314
Provider Name (Legal Business Name): HUNTER DAVID VAUGHAN OTD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 WILLIAM PENN PLZ
DURHAM NC
27704-2150
US

IV. Provider business mailing address

9525 PERRY RD
GRAHAM NC
27253-9390
US

V. Phone/Fax

Practice location:
  • Phone: 919-220-5255
  • Fax: 919-220-6971
Mailing address:
  • Phone: 919-592-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: