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MR. CHRISTOPHER L. VIGNEAULT ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1275753931

Individual Registrant:
MR. CHRISTOPHER L. VIGNEAULT ATC
Gender: M
Sole Proprietor

Location and contact information for practice:
1570 BALTIMORE PIKE OFFICE OF SPORTS MEDICINE LINCOLN UNIVERSITY, PA 19352 US
Tel: 484-365-7343  Fax: 484-365-7614

Contact information for business:
33 GUILFORD PL  BURLINGTON, NJ 08016-4186 US
Tel: 609-661-0405  Fax: --

Registration Information:
NPI: 1275753931
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
PART003847
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
NJ25MT00123900

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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