Individual ProviderLaura Fox MossPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address450 Ward St Ext, Wallingford, CT 06492(203) 848-7859PECOS EnrollmentBased on the most recent information from CMS, provider Laura Fox Moss 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 ID1568633014Provider TypeIndividualFull NameMoss, Laura FoxTitleMrs.CredentialMSPTGenderFemaleSole ProprietorYesEnumeration Date3/12/2008Last Updated3/12/2008Contact InformationPractice LocationPractice Address450 Ward St Ext, Wallingford, CT 06492Phone(203) 848-7859FaxUnlisted FaxMailing LocationMailing Address450 Ward St Ext, Wallingford, CT 06492Phone(203) 848-7859FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense006834Connecticut