Doctor Name: | INGRID A PETRILLA |
NPI Number: | 1215155874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5784 |
Business Practice Address: | 1 Veterans Dr Minneapolis, MN - 554172309 |
Business Phone Number: | 6124673072 |
Business Fax Number: | |
Mailing Address: | 4320 Bryant Ave S, MINNEAPOLIS |
State: | MN |
Postal Code: | 554091709 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |