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Jason Pennella, ATC
NPI 1053903278 · on the registry since 2021
Practice
- Address
- 251 Canaan Rd
Salisbury, CT 06068 - Phone
- (315) 323-4566
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut