Individual ProviderElena BochicchioPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address22 Masonic Ave, Wallingford, CT 06492-3048(203) 679-5900(203) 671-0098PECOS EnrollmentBased on the most recent information from CMS, provider Elena Bochicchio 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 ID1841813102Provider TypeIndividualFull NameBochicchio, ElenaCredentialPT, DPT, ATC, LATGenderFemaleSole ProprietorNoEnumeration Date5/21/2020Last Updated5/21/2020Contact InformationPractice LocationPractice Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-5900FaxUnlisted FaxMailing LocationMailing Address89 Millbrook Rd, North Haven, CT 06473-4332Phone(203) 671-0098FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10389Connecticut