IndividualActive
Amanda Vaughan, COTA/L
NPI 1063933224 · Occupational Therapy Assistant · Odessa, DE
Provider details
- NPI number
- 1063933224
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- U2-0012241 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
118 S 6th St
Odessa, DE 19730-2060
Phone: (302) 376-4128
Approximate (ZIP-level) locationGet directions
Mailing address
932 Cadman Dr
Middletown, DE 19709-1528
Additional practice locations (1)
- 260 N Little Tor RdNew City, NY 10956-2627Phone: (845) 708-2000
Registry dates
- Enumerated
- 2017-06-28
- Last updated
- 2022-07-11
- Certified
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.