Individual
INGRID A PETRILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3072
Mailing address
4320 BRYANT AVE S, MINNEAPOLIS, MN 55409-1709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5784
MN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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