Individual
SANDRA MARIE CASACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
107 ROYAL BIRKDALE DR, COLUMBIANA, OH 44408-8493
(330) 482-9350
(330) 482-2336
Mailing address
9471 MARKET ST, STE B, NORTH LIMA, OH 44452-8702
(330) 729-2388
(330) 629-6468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126237
—
OH
Enumeration date
05/18/2007
Last updated
02/24/2017
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