Individual ProviderAnne C HennesseyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address22 Masonic Drive, Wallingford, CT 06492(203) 679-6247(860) 621-5721PECOS EnrollmentBased on the most recent information from CMS, provider Anne C Hennessey 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 ID1245518497Provider TypeIndividualFull NameHennessey, Anne CTitleMrs.CredentialRPTGenderFemaleSole ProprietorNoEnumeration Date7/21/2011Last Updated7/21/2011Contact InformationPractice LocationPractice Address22 Masonic Drive, Wallingford, CT 06492Phone(203) 679-6247Fax(203) 679-6142Mailing LocationMailing Address34 Maxwell Drive, Plantsville, CT 06479Phone(860) 621-5721FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense01661Connecticut