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***NOTE: The information being reported on is current as of the end of the business day on 08/07/2025. If a form, or information has been submitted and is not yet present on a report(s), please check back the next business day.
[   Claim Number: 800209822   ]

Claim Detail



Case:      Ellis, Tanesha vs Crestfield Rehab

Injury Date: 09/30/2020     Filing District: Middletown
Injured Body Part (Primary): Hip     Claim Status: Litigated
Date of Birth:     Nature of Injury: Sprain

Forms Filed
(Click to display) Hearings
(Click to display)
Interested Parties to Claim
Party TypeNameAddress Line 1Address Line 2CityStateZip CodePhoneFax
Claimant Tanesha Ellis        
. . . Claimant's Rep . . . Jacobs & Wallace, PLLC 1087 Broad Street, Suite 400  Bridgeport CT06604- (203) 402-4004(203) 332-7709
Employer Crestfield Rehab 565 Vernon Street  Manchester CT06042- (860) 643-5151 
. . . Insurer Contact . . . Gallagher Bassett Services PO Box 2934  Clinton IA52733-2934(508) 948-3647 
. . . . . . Hrg Ins Contact . . . . . . Gallagher Bassett Services, Incorporated Attn: Hearing Notices (Non State) PO Box 2934 Clinton IA52733- (860) 509-3480(860) 291-9875
. . . . . . . . . Hrg Contact Rep . . . . . . . . . McGann, Bartlett & Brown, LLC 111 Founders Plaza, Suite 1201  East Hartford CT06108- (860) 282-4670(860) 282-4677