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ANGELO PETRIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1275 W PUEBLO BLVD, PUEBLO, CO 81004-3866
(719) 542-0589
(719) 542-0119
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 309-2579

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
293255
CA
225100000X
Physical Therapist
Primary
PTL0016672
CO

Other

Enumeration date
07/21/2017
Last updated
10/14/2019
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