JACOB F SELBE
Physical Therapist Assistant


Address: 319 Washington St Unit 1, Norwich, CT 06360-2719

JACOB F SELBE (Credential# 1318377) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JACOB F SELBE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001648. The credential type is physical therapist assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 319 Washington St Unit 1, Norwich, CT 06360-2719. The current status is active.

Basic Information

Licensee Name JACOB F SELBE
Credential ID 1318377
Credential Number 63.001648
Credential Type Physical Therapist Assistant
Business Address 319 Washington St Unit 1
Norwich
CT 06360-2719
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-02-01
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-03-03

Other licenses

ID Credential Code Credential Type Issue Term Status
889973 29.005993 Massage Therapist 2009-08-19 2019-03-01 - 2021-02-28 ACTIVE
1318523 63.001626-TEMP PTA Temporary Permit 2015-10-27 2015-10-27 - 2016-02-01 INACTIVE

Office Location

Street Address 319 WASHINGTON ST UNIT 1
City NORWICH
State CT
Zip Code 06360-2719

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Competitor

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City NORWICH
Zip Code 06360
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + NORWICH

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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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