MARK OTTAVIANI (Credential# 1326654) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
MARK OTTAVIANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001652. The credential type is physical therapist assistant. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 74 Latham Dr, Griswold, CT 06351-3415. The current status is active.
| Licensee Name | MARK OTTAVIANI |
| Credential ID | 1326654 |
| Credential Number | 63.001652 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
74 Latham Dr Griswold CT 06351-3415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-02-08 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-02-05 |
| Street Address | 74 LATHAM DR |
| City | GRISWOLD |
| State | CT |
| Zip Code | 06351-3415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott L Swanson | 74 Latham Dr, Griswold, CT 06351-3415 | Real Estate Salesperson | 2011-12-09 ~ 2012-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine L Stockwell | 471 Voluntown Road, Griswold, CT 06351 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Sandra L Conger | 494 Roode Rd, Griswold, CT 06351 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary E Malin | 11 Pequot Trail, Griswold, CT 06351 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara E Griffin | 30 Bishop Crossing Rd., Griswold, CT 06351 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Lisbon Mobil #85 | 107 River Rd, Lisbon, CT 06351 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Victoria M Arico | 57 Rimek Road, Lisbon, CT 06351 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ricky Robillard | 127 Griswold Dr., Jewett City, CT 06351 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Martha Ann Williams | 20 Stetson Rd, Griswold, CT 06351 | Notary Public Appointment | 2020-06-19 ~ 2025-06-30 |
| Sara R. Loarca | 68 Bergendahl Drive, Griswold, CT 06351 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Jeanette Dascomb | 204 North Main Street, Jewett City, CT 06351 | Medication Administration Certification | ~ |
| Find all Licenses in zip 06351 | |||
| City | GRISWOLD |
| Zip Code | 06351 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + GRISWOLD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark P Logiudice | 850 Mix Ave., Hamden, CT 06514 | Physical Therapist Assistant | ~ 2006-11-01 |
| Mark E Atkinson | 33 Cornwall Dr, New Milford, CT 06776 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Mark W Thompson | 528 Munro Ave., Mamaroneck, NY 10543 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Mark C Manning | 2 Wyndale Drive, Walkerville, MD 21793 | Physical Therapist Assistant | 2010-10-01 ~ 2011-09-30 |
| Mark P Merenda | 10 Keron Drive, Shelton, CT 06484 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Mark W Amato | 14-a Fern Court, Fishkill, NY 12524 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Mark J Poznan | 149 Durham Road, Madison, CT 06443 | Physical Therapist Assistant | 2017-02-01 ~ 2018-01-31 |
| Mark W Kemp | Gaylord Farm Rd, Wallingford, CT 06492 | Physical Therapist Assistant | ~ 2006-11-01 |
| Mark W Nelson | 113 Bates Trail, West Greenwich, RI 02817 | Physical Therapist Assistant | 2011-11-01 ~ 2012-10-31 |
| Mark Angelo Abalos Velasco | 1202 Patton St Apt 6, Truth Or Consequences, NM 87901-1767 | Physical Therapist Assistant | ~ |
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| 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).