IndividualActive
Amy Vaughan, MS,OTR/L
NPI 1700036688 · Occupational Therapist · St. Charles, IL
Provider details
- NPI number
- 1700036688
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS,OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 056008463 (IL)
Practice location
3815 E. Main Street., Suite B
St. Charles, IL 60174
Phone: (630) 584-7530
Mailing address
877 Quin Ct Apt 101
Naperville, IL 60563-9293
Registry dates
- Enumerated
- 2008-09-26
- Last updated
- 2009-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.