Individual ProviderWendy G GonzalezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 North Plains Industrial Road, Sutie 100, Wallingfod, CT 06492(203) 265-0018PECOS EnrollmentBased on the most recent information from CMS, provider Wendy G Gonzalez 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 ID1548348477Provider TypeIndividualFull NameGonzalez, Wendy GCredentialPTGenderFemaleSole ProprietorNoEnumeration Date11/1/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address101 North Plains Industrial Road, Sutie 100, Wallingfod, CT 06492Phone(203) 265-0018Fax(203) 265-4368Mailing LocationMailing AddressPO Box 1568, 101 North Plains Industrial Road Sutie 100, Wallingfod, CT 06492Phone(203) 265-0018Fax(203) 265-4368Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense004772Connecticut