BENJAMIN M WICKI
Physical Therapist


Address: 36 Obtuse Rd, Newtown, CT 06470-1044

BENJAMIN M WICKI (Credential# 1223368) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2015. The license expiration date date is May 31, 2016. The license status is INACTIVE.

Business Overview

BENJAMIN M WICKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010204. The credential type is physical therapist. The effective date is June 1, 2015. The expiration date is May 31, 2016. The business address is 36 Obtuse Rd, Newtown, CT 06470-1044. The current status is inactive.

Basic Information

Licensee Name BENJAMIN M WICKI
Credential ID 1223368
Credential Number 14.010204
Credential Type Physical Therapist
Business Address 36 Obtuse Rd
Newtown
CT 06470-1044
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-07-30
Effective Date 2015-06-01
Expiration Date 2016-05-31
Refresh Date 2016-09-03

Office Location

Street Address 36 OBTUSE RD
City NEWTOWN
State CT
Zip Code 06470-1044

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City NEWTOWN
Zip Code 06470
License Type Physical Therapist
License Type + County Physical Therapist + NEWTOWN

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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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