MYRA A FUJIMOTO HOLT
Physical Therapist


Address: 107 Wild Wood Drive, Avon, CT 06001

MYRA A FUJIMOTO HOLT (Credential# 690525) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

MYRA A FUJIMOTO HOLT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004944. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 107 Wild Wood Drive, Avon, CT 06001. The current status is active.

Basic Information

Licensee Name MYRA A FUJIMOTO HOLT
Credential ID 690525
Credential Number 14.004944
Credential Type Physical Therapist
Business Address 107 Wild Wood Drive
Avon
CT 06001
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1994-07-15
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-11-01

Office Location

Street Address 107 WILD WOOD DRIVE
City AVON
State CT
Zip Code 06001

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Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Physical Therapist
License Type + County Physical Therapist + AVON

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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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