Individual ProviderCarol Lee WalshPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address29 Pembrook Dr, Stony Brook, NY 11790-2619(631) 689-7837PECOS EnrollmentBased on the most recent information from CMS, provider Carol Lee Walsh 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 2 days ago.Profile DetailsProvider ID1689990731Provider TypeIndividualFull NameWalsh, Carol LeeTitleMrs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date4/14/2010Last Updated4/14/2010Contact InformationPractice LocationPractice Address29 Pembrook Dr, Stony Brook, NY 11790-2619Phone(631) 689-7837FaxUnlisted FaxMailing LocationMailing Address29 Pembrook Dr, Stony Brook, NY 11790-2619Phone(631) 689-7837FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense006305-1New York