KIMBERLY A DONNELLY
Physical Therapist


Address: 500 Russell Ave, Suffield, CT 06078-1612

KIMBERLY A DONNELLY (Credential# 1223714) 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

KIMBERLY A DONNELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010226. The credential type is physical therapist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 500 Russell Ave, Suffield, CT 06078-1612. The current status is active.

Basic Information

Licensee Name KIMBERLY A DONNELLY
Credential ID 1223714
Credential Number 14.010226
Credential Type Physical Therapist
Business Address 500 Russell Ave
Suffield
CT 06078-1612
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-07-31
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
1224002 14.010123-TEMP PT Temporary Permit 2014-05-21 2014-05-21 - 2014-07-31 INACTIVE

Office Location

Street Address 500 RUSSELL AVE
City SUFFIELD
State CT
Zip Code 06078-1612

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Competitor

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City SUFFIELD
Zip Code 06078
License Type Physical Therapist
License Type + County Physical Therapist + SUFFIELD

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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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