DEESHA M MARVANIA
Physical Therapist


Address: 62 Maltbie Ave, Stamford, CT 06902-1110

DEESHA M MARVANIA (Credential# 1006063) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

DEESHA M MARVANIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010471. The credential type is physical therapist. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 62 Maltbie Ave, Stamford, CT 06902-1110. The current status is active.

Basic Information

Licensee Name DEESHA M MARVANIA
Credential ID 1006063
Credential Number 14.010471
Credential Type Physical Therapist
Business Address 62 Maltbie Ave
Stamford
CT 06902-1110
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-05-13
Effective Date 2019-11-01
Expiration Date 2020-10-31
Refresh Date 2019-11-01

Office Location

Street Address 62 MALTBIE AVE
City STAMFORD
State CT
Zip Code 06902-1110

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Licensee Name Office Address Credential Effective / Expiration
Andrea K Velasco 16 Maltbie Ave, Stamford, CT 06902-1110 Registered Nurse 2020-06-01 ~ 2021-05-31

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Competitor

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City STAMFORD
Zip Code 06902
License Type Physical Therapist
License Type + County Physical Therapist + STAMFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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