Patricia C. Martick | Wallingford, CT • PECOS Search

Patricia C. Martick

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

22 Masonic Ave, Wallingford, CT 06492-3048

(203) 679-6909 (203) 630-9165

PECOS Enrollment

Based on the most recent information from CMS, provider Patricia C. Martick does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1962729178
Provider Type
Individual
Full Name
Martick, Patricia C.
Title
Mrs.
Credential
P.T.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/27/2010
Last Updated
4/27/2010

Contact Information

Practice Location

22 Masonic Ave, Wallingford, CT 06492-3048

(203) 679-6537

Mailing Location

22 Rasted Ln, Meriden, CT 06450-6633

(203) 630-9165

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 005206 Connecticut