Individual
STEVEN PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 612-5752
Mailing address
20214 NE 135TH AVE, WALDO, FL 32694-4419
(423) 368-3807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27083
FL
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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