Individual ProviderJennifer Lynne WilkoszPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address22 Masonic Ave, Wallingford, CT 06492-3048(203) 679-6909(203) 679-5959PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Lynne Wilkosz 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 ID1073793980Provider TypeIndividualFull NameWilkosz, Jennifer LynneTitleMs.CredentialMPTGenderFemaleSole ProprietorNoEnumeration Date11/8/2007Last Updated2/3/2017Contact InformationPractice LocationPractice Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-6909Fax(203) 679-6413Mailing LocationMailing Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-5959Fax(203) 679-6412Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense007486Connecticut