Ms Wendy Lee Boller, DPT | |
520 West Ave, Norwalk, CT 06850-4034 | |
(203) 852-3400 | |
Not Available |
Full Name | Ms Wendy Lee Boller |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 520 West Ave, Norwalk, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013353234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 009735 (Connecticut) | Primary |
Provider Name | Connecticut Family Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427255660 PECOS PAC ID: 4880767946 Enrollment ID: O20080722000769 |
Mailing Address | Practice Location Address |
---|---|
Ms Wendy Lee Boller, DPT 1377 Motor Pkwy, Ste 307, Islandia, NY 11749-5258 Ph: (631) 580-5200 | Ms Wendy Lee Boller, DPT 520 West Ave, Norwalk, CT 06850-4034 Ph: (203) 852-3400 |
Dana Fulton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 698 West Ave, Norwalk, CT 06850 Phone: 203-852-3400 | |
Umamheswari Kathiravan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 63 Riiverside Ave Unit B, Norwalk, CT 06850 Phone: 203-909-8011 | |
Christine Flanigan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 West Ave, Norwalk, CT 06850 Phone: 203-852-3400 | |
Courtney Lyddy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Cross St, Rehabilitation Services Of Norwalk Hospital, Norwalk, CT 06851 Phone: 203-840-3170 | |
Ms. Chocolate Gonzalez Ocampo, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Midrocks Dr, Norwalk, CT 06851 Phone: 203-847-9686 | |
Kasandra Guthrie, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 346 Main Ave, Norwalk, CT 06851 Phone: 203-847-4400 Fax: 203-847-4442 |