LYDIA L MIAZZA
Physical Therapist Assistant


Address: 16 Wild Rose Ct, Bloomfield, CT 06002-1664

LYDIA L MIAZZA (Credential# 1145222) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.

Business Overview

LYDIA L MIAZZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001329. The credential type is physical therapist assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 16 Wild Rose Ct, Bloomfield, CT 06002-1664. The current status is approved.

Basic Information

Licensee Name LYDIA L MIAZZA
Credential ID 1145222
Credential Number 63.001329
Credential Type Physical Therapist Assistant
Business Address 16 Wild Rose Ct
Bloomfield
CT 06002-1664
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2013-04-16
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-23

Office Location

Street Address 16 WILD ROSE CT
City BLOOMFIELD
State CT
Zip Code 06002-1664

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Competitor

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City BLOOMFIELD
Zip Code 06002
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + BLOOMFIELD

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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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