Individual
DANIEL JOSEPH PELLERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
1903 JEFFERSON AVE, NEW ORLEANS, LA 70115-5616
(504) 896-6378
Mailing address
2201 WIRTH PL, NEW ORLEANS, LA 70115-6565
(504) 628-4462
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200131
LA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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