CAROLE GRAVINA
Physical Therapist


Address: 167 Old Foxon Road, New Haven, CT 06513

CAROLE GRAVINA (Credential# 691313) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 22, 1999. The license expiration date date is September 30, 2000. The license status is INACTIVE.

Business Overview

CAROLE GRAVINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005737. The credential type is physical therapist. The effective date is July 22, 1999. The expiration date is September 30, 2000. The business address is 167 Old Foxon Road, New Haven, CT 06513. The current status is inactive.

Basic Information

Licensee Name CAROLE GRAVINA
Credential ID 691313
Credential Number 14.005737
Credential Type Physical Therapist
Business Address 167 Old Foxon Road
New Haven
CT 06513
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-03-14
Effective Date 1999-07-22
Expiration Date 2000-09-30
Refresh Date 2009-07-08

Office Location

Street Address 167 OLD FOXON ROAD
City NEW HAVEN
State CT
Zip Code 06513

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Competitor

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City NEW HAVEN
Zip Code 06513
License Type Physical Therapist
License Type + County Physical Therapist + NEW HAVEN

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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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