| Back On Course Llc | |
|
29 N Plains Hwy, Wallingford, CT 06492 | |
| (203) 949-1890 | |
| (203) 949-1891 |
| Full Name | Back On Course Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 29 N Plains Hwy, Wallingford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245338946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Maureen A Melleky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144216623 PECOS PAC ID: 5597716506 Enrollment ID: I20050208000250 |
| Provider Name | Corinne E Taczli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265578256 PECOS PAC ID: 7810081783 Enrollment ID: I20070922000135 |
| Provider Name | Susan Devylder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306831987 PECOS PAC ID: 9133304595 Enrollment ID: I20110428000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Back On Course Llc Pob 4131, Yalesville, CT 06492 Ph: (203) 284-1340 | Back On Course Llc 29 N Plains Hwy, Wallingford, CT 06492 Ph: (203) 949-1890 |
Sarah Tommaso, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Plains Industrial Rd, Building 2, Wallingford, CT 06492 Phone: 203-949-9337 Fax: 203-254-3790 | |
Melissa Bennett, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Masonic Ave, Wallingford, CT 06492 Phone: 203-679-5900 | |
Ms. Kimberly Hajjar, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Plains Industrial Rd, Building 2, Wallingford, CT 06492 Phone: 203-949-9337 | |
Heather Wilson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Masonic Ave, Wallingford, CT 06492 Phone: 203-679-5456 | |
Hands On Rehab Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 329 Main St, Suite 202, Wallingford, CT 06492 Phone: 203-793-7963 Fax: 203-793-2519 | |
Ms. Brittany Mercier, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Kondracki Ln, Wallingford, CT 06492 Phone: 603-321-7708 | |
Mrs. Kari Gilland Panuccio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Masonic Ave, Wallingford, CT 06492 Phone: 203-679-5959 |