NICHOLAS ROTOLO
Physical Therapist Assistant


Address: 52 Lane St, Shelton, CT 06484-5223

NICHOLAS ROTOLO (Credential# 1470513) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is PENDING.

Business Overview

NICHOLAS ROTOLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001918. The credential type is physical therapist assistant. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 52 Lane St, Shelton, CT 06484-5223. The current status is pending.

Basic Information

Licensee Name NICHOLAS ROTOLO
Credential ID 1470513
Credential Number 63.001918
Credential Type Physical Therapist Assistant
Business Address 52 Lane St
Shelton
CT 06484-5223
Business Type INDIVIDUAL
Status PENDING - REINSTATEMENT APPLICATION PENDING
Issue Date 2018-05-02
Effective Date 2018-08-01
Expiration Date 2019-07-31
Refresh Date 2020-04-17

Other licenses

ID Credential Code Credential Type Issue Term Status
1470963 63.001884-TEMP PTA Temporary Permit 2018-01-18 2018-01-18 - 2018-04-04 INACTIVE

Office Location

Street Address 52 LANE ST
City SHELTON
State CT
Zip Code 06484-5223

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Competitor

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City SHELTON
Zip Code 06484
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + SHELTON

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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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