Individual ProviderAustin BronsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360(203) 265-0018(631) 580-5200PECOS EnrollmentBased on the most recent information from CMS, provider Austin Bronson 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 ID1831667070Provider TypeIndividualFull NameBronson, AustinGenderMaleSole ProprietorYesEnumeration Date11/6/2018Last Updated11/6/2018Contact InformationPractice LocationPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360Phone(203) 265-0018Fax(203) 264-0199Mailing LocationMailing Address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258Phone(631) 580-5200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12062Connecticut