Individual ProviderJillian CristaldiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address22 Masonic Ave, Wallingford, CT 06492(203) 679-5407PECOS EnrollmentBased on the most recent information from CMS, provider Jillian Cristaldi 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 ID1295058592Provider TypeIndividualFull NameCristaldi, JillianCredentialDPT, GCSGenderFemaleSole ProprietorNoEnumeration Date3/2/2010Last Updated2/13/2014Contact InformationPractice LocationPractice Address22 Masonic Ave, Wallingford, CT 06492Phone(203) 679-5407FaxUnlisted FaxMailing LocationMailing Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-5407FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8597Connecticut