Individual ProviderMelissa K. ThibodeauPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address701 N Colony Rd, Wallingford, CT 06492-2407(203) 294-0449(203) 626-0160PECOS EnrollmentBased on the most recent information from CMS, provider Melissa K. Thibodeau 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 6 days ago.Profile DetailsProvider ID1831422773Provider TypeIndividualFull NameThibodeau, Melissa K.CredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/10/2009Last Updated8/11/2023Contact InformationPractice LocationPractice Address701 N Colony Rd, Wallingford, CT 06492-2407Phone(203) 294-0449Fax(203) 466-8527Mailing LocationMailing Address2408 Whitney Ave, Hamden, CT 06518-3209Phone(203) 626-0160Fax(203) 294-6734Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8617Connecticut