BRIAN T WIRTALLA (Credential# 1164442) 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.
BRIAN T WIRTALLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009872. The credential type is physical therapist. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 31 Emily Ln, Manchester, CT 06040-6659. The current status is active.
Licensee Name | BRIAN T WIRTALLA |
Credential ID | 1164442 |
Credential Number | 14.009872 |
Credential Type | Physical Therapist |
Business Address |
31 Emily Ln Manchester CT 06040-6659 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-08-01 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-11-01 |
Street Address | 31 EMILY LN |
City | MANCHESTER |
State | CT |
Zip Code | 06040-6659 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06040 |
City | MANCHESTER |
Zip Code | 06040 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + MANCHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Corey A Wirtalla | 48 Wilbur Avenue, Meriden, CT 06450 | Massage Therapist | 2016-08-01 ~ 2018-07-31 |
Brian Ing | 6 Southfield Ln, Sandwich, MA 02563-2783 | Physical Therapist | 2019-08-29 ~ 2020-07-31 |
Brian T Fogarty | 19 Locust Ln, Hopewell Jct, NY 12533-3528 | Physical Therapist | 2010-07-23 ~ 2011-06-30 |
Brian M Kelley | 7 Willow St., Oxford, CT 06478 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Brian H Huempfner | 49 Old Pocasset Rd, Johnston, RI 02919-3111 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
Brian Reis | 148 Highland Ave, Beacon Falls, CT 06403-1110 | Physical Therapist | ~ |
Brian I Aida | 9 Grove St, Portland, CT 06480-1956 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Brian W Scott | 36 Willow Ave, Cornwall, NY 12518-1430 | Physical Therapist | 2016-09-01 ~ 2017-08-31 |
Brian J Marsh | 47 Winthrop Ter, Meriden, CT 06451-7636 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
Brian S Mclellan | 37 Thayer Ave, Collinsville, CT 06019-3023 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on BRIAN T WIRTALLA.
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).