TERRA L GODIN
Physical Therapist


Address: 232 Spencer Rd, Burke, NY 12917-2816

TERRA L GODIN (Credential# 1028039) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

TERRA L GODIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009207. The credential type is physical therapist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 232 Spencer Rd, Burke, NY 12917-2816. The current status is active.

Basic Information

Licensee Name TERRA L GODIN
Credential ID 1028039
Credential Number 14.009207
Credential Type Physical Therapist
Business Address 232 Spencer Rd
Burke
NY 12917-2816
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-09-23
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1028295 14.009176-TEMP PT Temporary Permit 2011-08-05 2011-08-09 - 2011-09-23 INACTIVE

Office Location

Street Address 232 SPENCER RD
City BURKE
State NY
Zip Code 12917-2816

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Henry B. Hoff 10209 Faire Commons Court, Burke, VA 22015 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
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Competitor

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City BURKE
Zip Code 12917
License Type Physical Therapist
License Type + County Physical Therapist + BURKE

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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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