TRACY E WALL (Credential# 690602) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
TRACY E WALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005021. The credential type is physical therapist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 407 Madison Rd # R, Durham, CT 06422-3217. The current status is active.
Licensee Name | TRACY E WALL |
Credential ID | 690602 |
Credential Number | 14.005021 |
Credential Type | Physical Therapist |
Business Address |
407 Madison Rd # R Durham CT 06422-3217 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1994-08-19 |
Effective Date | 2019-10-01 |
Expiration Date | 2020-09-30 |
Refresh Date | 2019-09-04 |
Street Address | 407 MADISON RD # R |
City | DURHAM |
State | CT |
Zip Code | 06422-3217 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan A Luysterborghs | 208 Blue Hills Road, Durham, CT 06422 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Trinh Tu Tran | 10 Cesca Lane, Durham, CT 06422 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Beseck Mountain Rescue Inc | 68r Middlefield Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | 2007-10-15 ~ |
Mary E Gossart | 35 Maiden Lane, Durham, CT 06422 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Jayshreebahen Bidja · Little Rooster Liquors | 363 Main St, Durham, CT 06422 | Package Store Liquor | 2020-08-09 ~ 2021-08-08 |
Erica Espinoza | 163 Stage Coach Rd, Durham, CT 06422 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Adrienne Lynn Deschnow | 419 R Johnson Lane, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Lynda S Collins · Robison | 649 Wallingford Road, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Pierino Peter Cascini | 425 Main Street, Durham, CT 06422 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Leila K Markunas | 250 Skeetclub Road, Durham, CT 06422 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06422 |
City | DURHAM |
Zip Code | 06422 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + DURHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tracy M D'arpino | 11 Wall St., Milford, CT 06460 | Physical Therapist Assistant | ~ 2006-11-01 |
Frank T Tudini | 28 Wall St, Wallingford, CT 06492-4709 | Physical Therapist | 2017-02-01 ~ 2018-01-31 |
Danielle Joubert | 9 Wall St, Charlestown, RI 02813-1958 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Sonum T Shah | 1539 State Route 138, Wall, NJ 07719-3705 | Physical Therapist | ~ |
Robert Patrick A Lingal | 99 Wall St Ste 1580, New York, NY 10005-4301 | Physical Therapist | 2014-07-01 ~ 2015-06-30 |
Kathy H Wall | 332590 Plank Line Rr #7, Tillsonburg, On, N4G 4H1 | Physical Therapist | 2006-06-26 ~ 2007-01-31 |
Dina Bonetti | 220 Wall Street, Hebron, CT 06248 | Physical Therapist Assistant | 2019-07-01 ~ 2020-06-30 |
Catheryn J Gorel | 15 Tracy Ter, Seymour, CT 06483-3019 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
Mary Dona | 73 Tracy Rd, Dudley, MA 01571 | Physical Therapist | 2017-06-01 ~ 2018-05-31 |
Kathleen F Carlson | 88 Tracy St, Thomaston, CT 06787 | Physical Therapist | 2011-05-01 ~ 2012-04-30 |
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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).