Madeline Mazoue, | |
35 River Rd, Cos Cob, CT 06807-2759 | |
(203) 422-0679 | |
Not Available |
Full Name | Madeline Mazoue |
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Gender | Female |
Speciality | Physical Therapist |
Location | 35 River Rd, Cos Cob, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528798337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13569 (Connecticut) | Primary |
Provider Name | Performance Physical Therapy Of Ct |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770609299 PECOS PAC ID: 1153343470 Enrollment ID: O20051229000382 |
Mailing Address | Practice Location Address |
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Madeline Mazoue, Po Box 402, Cos Cob, CT 06807-0402 Ph: () - | Madeline Mazoue, 35 River Rd, Cos Cob, CT 06807-2759 Ph: (203) 422-0679 |
Mrs. Brittany Antin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 River Rd, Cos Cob, CT 06807 Phone: 201-264-6983 | |
Jonathan Filipe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 River Rd, Second Floor, Cos Cob, CT 06807 Phone: 203-422-0679 | |
Christine J Lynders, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31 River Rd, Cos Cob, CT 06807 Phone: 203-769-1781 | |
Christopher Coppolecchia, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 River Rd, 2nd Floor, Cos Cob, CT 06807 Phone: 203-422-0679 | |
Shane Foley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 River Rd, 2nd Floor, Cos Cob, CT 06807 Phone: 203-422-0679 | |
Danielle Pasquale, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 River Rd, Cos Cob, CT 06807 Phone: 203-422-0679 Fax: 203-621-3162 | |
Ms. Cathleen Baker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Wyndover Ln, Cos Cob, CT 06807 Phone: 917-519-2604 |