Individual ProviderLauren RandallPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address97 Barnes Rd, Wallingford, CT 06492-1885(203) 793-7592(860) 916-7870PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Randall 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 ID1508385584Provider TypeIndividualFull NameRandall, LaurenCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/11/2017Last Updated8/4/2021Contact InformationPractice LocationPractice Address97 Barnes Rd, Wallingford, CT 06492-1885Phone(203) 793-7592FaxUnlisted FaxMailing LocationMailing Address5 Tarragon Dr, East Hampton, CT 06424-1757Phone(860) 916-7870FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13215Connecticut