Individual ProviderRachel W PataPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address22 Masonic Ave, Wallingford, CT 06492-3048(203) 679-6909PECOS EnrollmentBased on the most recent information from CMS, provider Rachel W Pata does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1073747234Provider TypeIndividualFull NamePata, Rachel WTitleMrs.CredentialD.P.TGenderFemaleSole ProprietorNoEnumeration Date5/4/2009Last Updated5/4/2009Contact InformationPractice LocationPractice Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-6909FaxUnlisted FaxMailing LocationMailing Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-6909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense007305Connecticut