Provider Demographics
NPI:1265724413
Name:VAUGHN, JENNIFER ANN (PT, CHT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:PT, CHT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:LAMBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8401 CONNECTICUT AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5832
Mailing Address - Country:US
Mailing Address - Phone:301-949-8100
Mailing Address - Fax:301-962-7450
Practice Address - Street 1:8401 CONNECTICUT AVE STE 910
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5803
Practice Address - Country:US
Practice Address - Phone:301-946-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24834225100000X, 2251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist