Individual ProviderJennie A GosselinPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360(203) 265-0018(914) 294-4050PECOS EnrollmentBased on the most recent information from CMS, provider Jennie A Gosselin 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 ID1679230296Provider TypeIndividualFull NameGosselin, Jennie ACredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date11/18/2021Last Updated1/18/2022Contact InformationPractice LocationPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360Phone(203) 265-0018Fax(203) 265-4368Mailing LocationMailing Address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224Phone(914) 294-4050Fax(631) 760-8306Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13403Connecticut