Individual ProviderMary Beth J VientosPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 N Plains Industrial Rd, Ste 100, Wallingford, CT 06492-2360(203) 265-0018PECOS EnrollmentBased on the most recent information from CMS, provider Mary Beth J Vientos 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 ID1396731873Provider TypeIndividualFull NameVientos, Mary Beth JTitleMrs.CredentialRPTGenderFemaleSole ProprietorNoEnumeration Date9/21/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address101 N Plains Industrial Rd, Ste 100, Wallingford, CT 06492-2360Phone(203) 265-0018Fax(203) 265-4368Mailing LocationMailing Address101 N Plains Industrial Rd, Ste 100, Wallingford, CT 06492-2360Phone(203) 265-0018Fax(203) 265-4368Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense003807Connecticut