GEM PAULA D GONZAGA
Physical Therapist


Address: 28 Barley Ln, Patchogue, NY 11772-4177

GEM PAULA D GONZAGA (Credential# 1392367) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.

Business Overview

GEM PAULA D GONZAGA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011259. The credential type is physical therapist. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is 28 Barley Ln, Patchogue, NY 11772-4177. The current status is inactive.

Basic Information

Licensee Name GEM PAULA D GONZAGA
Credential ID 1392367
Credential Number 14.011259
Credential Type Physical Therapist
Business Address 28 Barley Ln
Patchogue
NY 11772-4177
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-01-03
Effective Date 2018-02-01
Expiration Date 2019-01-31
Refresh Date 2020-02-21

Office Location

Street Address 28 BARLEY LN
City PATCHOGUE
State NY
Zip Code 11772-4177

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Philip John G Bunag 28 Barley Ln, Patchogue, NY 11772-4177 Physical Therapist 2020-06-01 ~ 2021-05-31

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Competitor

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City PATCHOGUE
Zip Code 11772
License Type Physical Therapist
License Type + County Physical Therapist + PATCHOGUE

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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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