LYDIA NITCHMAN
Physical Therapist


Address: 21315 33rd Rd, Bayside, NY 11361-1508

LYDIA NITCHMAN (Credential# 1365924) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 20, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.

Business Overview

LYDIA NITCHMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011003. The credential type is physical therapist. The effective date is July 20, 2016. The expiration date is March 31, 2017. The business address is 21315 33rd Rd, Bayside, NY 11361-1508. The current status is inactive.

Basic Information

Licensee Name LYDIA NITCHMAN
Credential ID 1365924
Credential Number 14.011003
Credential Type Physical Therapist
Business Address 21315 33rd Rd
Bayside
NY 11361-1508
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-07-20
Effective Date 2016-07-20
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Office Location

Street Address 21315 33RD RD
City BAYSIDE
State NY
Zip Code 11361-1508

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City BAYSIDE
Zip Code 11361
License Type Physical Therapist
License Type + County Physical Therapist + BAYSIDE

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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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