Individual
TERRI LYNN VACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
832 S MAIN ST, ORRVILLE, OH 44667-2208
(330) 682-3010
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1121088
PA
363AM0700X
Medical Physician Assistant
Primary
50.003727
OH
Other
Enumeration date
01/18/2013
Last updated
08/24/2023
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