SARAH L BLACKISTON
Physical Therapist


Address: 151 Bedford Rd., Greenwich, CT 06831

SARAH L BLACKISTON (Credential# 690396) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2010. The license expiration date date is November 30, 2011. The license status is INACTIVE.

Business Overview

SARAH L BLACKISTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004815. The credential type is physical therapist. The effective date is December 1, 2010. The expiration date is November 30, 2011. The business address is 151 Bedford Rd., Greenwich, CT 06831. The current status is inactive.

Basic Information

Licensee Name SARAH L BLACKISTON
Credential ID 690396
Credential Number 14.004815
Credential Type Physical Therapist
Business Address 151 Bedford Rd.
Greenwich
CT 06831
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-11-04
Effective Date 2010-12-01
Expiration Date 2011-11-30
Refresh Date 2012-03-02

Office Location

Street Address 151 Bedford Rd.
City GREENWICH
State CT
Zip Code 06831

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Competitor

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City GREENWICH
Zip Code 06831
License Type Physical Therapist
License Type + County Physical Therapist + GREENWICH

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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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