ANNA C. SOUTHAM (Credential# 1615059) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ANNA C. SOUTHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012090. The credential type is physical therapist. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 74 Bridge St #4, Northampton, MA 01060. The current status is active.
| Licensee Name | ANNA C. SOUTHAM |
| Credential ID | 1615059 |
| Credential Number | 14.012090 |
| Credential Type | Physical Therapist |
| Business Address |
74 Bridge St #4 Northampton MA 01060 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-20 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-01 |
| Street Address | 74 BRIDGE ST #4 |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha H Lyon | 313 Elm St, Northampton, MA 01060 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Joanne N Corbin | 73 Barrett St., Northampton, MA 01060 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine Marie Grimaldi | 49 Pine Brook Curve, Northampton, MA 01060 | Occupational Therapist | 2020-05-21 ~ 2021-07-31 |
| Ali Haider | 51 Phillips Place, Northampton, MA 01060 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Paul W Harrigan | 63 Center Street, Northampton, MA 01060 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
| Barbara A Maronn | 243 King Street, Ste 107, Northampton, MA 01060 | Tax Preparer/facilitator Permit | 2020-03-10 ~ 2022-03-31 |
| Carol Karney | 37 Fair Street, Northampton, MA 01060 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Jason Doyon | 9 1/2 Market Street, Northampton, MA 01060 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Deevia Chandrakant Patel | 111 Prospect Street, Northampton, MA 01060 | Physician/surgeon | 2020-02-07 ~ 2020-10-31 |
| Stanley Schapiro | 139 Vernon Street, Northampton, MA 01060 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01060 | |||
| City | NORTHAMPTON |
| Zip Code | 01060 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NORTHAMPTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna S Duffy | Po Box 982, Dayville, CT 06241 | Physical Therapist | 1992-09-24 ~ 1993-10-31 |
| Anna M Schiller | 15 Magnolia St, Westbury, NY 11590-1810 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Anna Malz | 6 West Rd, Clinton, CT 06413-1245 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Anna P O'brien | Ballythomas, Co Cork | Physical Therapist | 2000-02-14 ~ 2001-03-31 |
| Anna M Wiedeler | 89 Maple Ave, Windsor, CT 06095 | Physical Therapist | 2009-10-01 ~ 2010-09-30 |
| Anna L Morejon | 28 Old Lantern Rd, Danbury, CT 06810-8448 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Anna Summerfield | 17 Deer Run Drive, Seymour, CT 06483 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Anna A Rojek | 48 Avondale Rd, West Hartford, CT 06117-1107 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Anna Wloch | 65 Carroll Street, New Britain, CT 06053 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Anna Pamela D Burgos | 552 E 240th St, Bronx, NY 10470-1404 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on ANNA C. SOUTHAM.
| 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).