NICOLE E YACOBINO
Physical Therapist Assistant


Address: 10 David Drive, Shelton, CT 06484

NICOLE E YACOBINO (Credential# 1182281) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.

Business Overview

NICOLE E YACOBINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001409. The credential type is physical therapist assistant. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 10 David Drive, Shelton, CT 06484. The current status is inactive.

Basic Information

Licensee Name NICOLE E YACOBINO
Credential ID 1182281
Credential Number 63.001409
Credential Type Physical Therapist Assistant
Business Address 10 David Drive
Shelton
CT 06484
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-10-18
Effective Date 2014-06-01
Expiration Date 2015-05-31
Refresh Date 2015-09-11

Other licenses

ID Credential Code Credential Type Issue Term Status
778262 54.000463 Athletic Trainer 2007-09-11 2014-06-01 - 2015-05-31 INACTIVE
1182629 63.001399-TEMP PTA Temporary Permit 2013-08-30 2013-08-30 - 2013-10-18 INACTIVE

Office Location

Street Address 10 DAVID DRIVE
City SHELTON
State CT
Zip Code 06484

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Competitor

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City SHELTON
Zip Code 06484
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + SHELTON

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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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