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NPI Code Detail

MEDICARE: MS. TRACY VAUGHT P.T.

MEDICARE:  MS. TRACY  VAUGHT  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist17970MD
2225100000XPhysical Therapist002995VA
3225100000XPhysical Therapist2212DC

General Provider Information

NPI Number : 1174528731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY VAUGHT P.T.
Provider Business Mailing Address
First Line : 2841 HARTLAND RD STE 401B
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22043-3500
Country : US
Telephone Number : 703-205-1233
Fax Number : 703-641-0189
Provider Business Practice Location Address
First Line : 2841 HARTLAND RD STE 401B
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22043-3500
Country : US
Telephone Number : 703-205-1233
Fax Number : 703-641-0189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 05/02/2016

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Directions to “ MS. TRACY VAUGHT P.T.” Practice Location

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