Ms Mary Lynn Clark, PT | |
85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 | |
(203) 697-1067 | |
(203) 284-0492 |
Full Name | Ms Mary Lynn Clark |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 44 Years |
Location | 85 Barnes Rd, Wallingford, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225174295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 002882 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anb-ptsma Holdings Inc | 4789572926 | 141 |
Provider Name | Anb-ptsma Holdings Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Lynn Clark, PT 47 N Main St, Suite 109, West Hartford, CT 06107-1926 Ph: (860) 409-4595 | Ms Mary Lynn Clark, PT 85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 Ph: (203) 697-1067 |
Kevin L. Rafferty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Barnes Rd, Ste 109, Wallingford, CT 06492 Phone: 203-697-1067 Fax: 203-284-0492 | |
Joseph Rivieccio, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Plains Industrial Rd, Wallingford, CT 06492 Phone: 203-817-0196 | |
Isabella Mesturini, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 863 N Main Street Ext Ste 200, Wallingford, CT 06492 Phone: 203-265-3280 | |
Stacey Lynn Stokes, RPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Plains Industrial Rd, Wallingford, CT 06492 Phone: 203-265-0018 Fax: 203-265-4368 | |
Mrs. Carol Davidson Fortin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Masonic Ave, Wallingford, CT 06492 Phone: 203-679-5959 | |
Amy F Vumback, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Masonic Ave, Wallingford, CT 06492 Phone: 203-679-6273 Fax: 203-679-6142 | |
Jamie Lynn Pedersen, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 S Turnpike Rd, Wallingford, CT 06492 Phone: 888-679-9997 |