MR. Jason Louis Pennella, ATC
NPI #1053903278 in Salisbury, Connecticut
Provider Information
- NPI Number
- 1053903278
- Entity Type
- Individual
- Name
- MR. Jason Louis Pennella, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 9, 2021
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 251 CANAAN RD
- City
- Salisbury
- State
- Connecticut
- ZIP Code
- 06068-1602
- Phone
- (315) 323-4566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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