Individual ProviderKaren PettitPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address22 Masonic Ave, Wallingford, CT 06492-3048(203) 679-5959PECOS EnrollmentBased on the most recent information from CMS, provider Karen Pettit 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 ID1972753036Provider TypeIndividualFull NamePettit, KarenCredentialRPTGenderFemaleSole ProprietorYesEnumeration Date9/25/2008Last Updated9/25/2008Contact InformationPractice LocationPractice Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-5959FaxUnlisted FaxMailing LocationMailing Address22 Masonic Ave, Wallingford, CT 06492-3048Phone(203) 679-5959FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense003951Connecticut