Individual
ANDREA M VIGNOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
139 TODDY HILL RD, SANDY HOOK, CT 06482-1362
(914) 213-1512
Mailing address
139 TODDY HILL RD, SANDY HOOK, CT 06482-1362
(914) 213-1512
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001074
CT
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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