Healthcare Provider Details

I. General information

NPI: 1861304776
Provider Name (Legal Business Name): OLIVIA KATHERINE OLIGNY-LEGGETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LANCASTER AVE
WYNNEWOOD PA
19096-3450
US

IV. Provider business mailing address

240 N RADNOR CHESTER RD
WAYNE PA
19087-5170
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-2000
  • Fax:
Mailing address:
  • Phone: 484-476-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: