Provider Demographics
NPI:1811485410
Name:VIGNEAUX, CHAD (ATC)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:VIGNEAUX
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4439 HONEYSUCKLE LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-8815
Mailing Address - Country:US
Mailing Address - Phone:215-622-6882
Mailing Address - Fax:
Practice Address - Street 1:4439 HONEYSUCKLE LN
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-8815
Practice Address - Country:US
Practice Address - Phone:215-622-6882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-29
Last Update Date:2018-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty