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Individual

GRACE TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
700 ARCH ST, PHILADELPHIA, PA 19106-1548
(215) 521-4000
Mailing address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA007424
PA
363AM0700X
Medical Physician Assistant
MA067052
PA

Other

Enumeration date
10/02/2025
Last updated
11/03/2025
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