SCOTT W VAN NIEKERK
Physical Therapist


Address: 1591 Route 22, Brewster, NY 10509

SCOTT W VAN NIEKERK (Credential# 691256) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.

Business Overview

SCOTT W VAN NIEKERK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005680. The credential type is physical therapist. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 1591 Route 22, Brewster, NY 10509. The current status is inactive.

Basic Information

Licensee Name SCOTT W VAN NIEKERK
Credential ID 691256
Credential Number 14.005680
Credential Type Physical Therapist
Business Address 1591 Route 22
Brewster
NY 10509
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-01-03
Effective Date 2014-11-01
Expiration Date 2015-10-31
Refresh Date 2016-02-03

Office Location

Street Address 1591 ROUTE 22
City Brewster
State NY
Zip Code 10509

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Mary Ann Stabe 105 Bentley Ct, Brewster, NY 10509 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Paul Wasserman 88 Lakeview Drive, Brewster, NY 10509 Physical Therapist 2020-07-01 ~ 2021-06-30
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Competitor

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City Brewster
Zip Code 10509
License Type Physical Therapist
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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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