Provider Demographics
NPI:1427172121
Name:GARRITANO, PETRINA ANGELA (PT)
Entity type:Individual
Prefix:MS
First Name:PETRINA
Middle Name:ANGELA
Last Name:GARRITANO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 THORNBERRY CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-7814
Mailing Address - Country:US
Mailing Address - Phone:513-325-7925
Mailing Address - Fax:
Practice Address - Street 1:2454 KIPLING AVENUE
Practice Address - Street 2:SUITE 125
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239
Practice Address - Country:US
Practice Address - Phone:513-853-3353
Practice Address - Fax:513-853-3370
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4089225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist