Individual ProviderVictoria Ione CanaryPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 Northrop Rd, Wallingford, CT 06492-1997(203) 949-1534(732) 431-2155PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Ione Canary 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 ID1427347244Provider TypeIndividualFull NameCanary, Victoria IoneCredentialMPTGenderFemaleSole ProprietorNoEnumeration Date4/1/2011Last Updated9/2/2016Contact InformationPractice LocationPractice Address900 Northrop Rd, Wallingford, CT 06492-1997Phone(203) 949-1534Fax(203) 949-9036Mailing LocationMailing Address17 N Main St, Marlboro, NJ 07746-1439Phone(732) 431-2155Fax(732) 707-3920Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense40QA01649000New Jersey