Individual ProviderElizabeth Ann FiskPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8 Research Pkwy, Wallingford, CT 06492-1930(203) 294-1998PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Ann Fisk 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 ID1174840136Provider TypeIndividualFull NameFisk, Elizabeth AnnCredentialPTGenderFemaleSole ProprietorNoEnumeration Date4/29/2010Last Updated4/29/2010Contact InformationPractice LocationPractice Address8 Research Pkwy, Wallingford, CT 06492-1930Phone(203) 294-1998Fax(203) 294-1189Mailing LocationMailing Address8 Research Pkwy, Wallingford, CT 06492-1930PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense008533ConnecticutProvider IdentifiersIDDescriptionIssuerID6404254DescriptionOtherIssuerUNITED HEALTH CAREConnecticutID712712DescriptionOtherIssuerCONNETICAREConnecticut