| Pauline Wyatt, PT | |
|
196 Parkway S, Waterford, CT 06385-1234 | |
| (860) 447-0417 | |
| Not Available |
| Full Name | Pauline Wyatt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 196 Parkway S, Waterford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205981404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 005293 (Connecticut) | Primary |
| Provider Name | Goat Physical Therapy And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1043828510 PECOS PAC ID: 5496193658 Enrollment ID: O20240406000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Pauline Wyatt, PT 8259 Wicker Ave, Saint John, IN 46373-8878 Ph: (219) 365-6553 | Pauline Wyatt, PT 196 Parkway S, Waterford, CT 06385-1234 Ph: (860) 447-0417 |
Jessica Lundfelt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Rope Ferry Rd, Waterford, CT 06385 Phone: 860-444-1175 | |
Zachary William Gerber, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 86 Boston Post Rd Ste 1, Waterford, CT 06385 Phone: 860-444-1671 Fax: 860-444-1671 | |
Corie Sigan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Boston Post Rd, Waterford, CT 06385 Phone: 860-271-4900 | |
Dr. Danielle M Steward-gelinas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 B Ln, Waterford, CT 06385 Phone: 860-287-3222 | |
Mr. David A Doyle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 86 Boston Post Road, Suite 1, Waterford, CT 06385 Phone: 860-444-8713 Fax: 860-444-1671 | |
Ms. Jennifer Eve Bartholomew, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 86 Boston Post Rd, Suite, Waterford, CT 06385 Phone: 860-444-8713 Fax: 860-444-1671 |