Provider Demographics
NPI:1194973289
Name:VIGNA, OLGA (CP, MS)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:VIGNA
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Gender:F
Credentials:CP, MS
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Mailing Address - Street 1:150 S HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4817
Mailing Address - Country:US
Mailing Address - Phone:857-364-6031
Mailing Address - Fax:857-364-2078
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-6031
Practice Address - Fax:857-364-2078
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management