TAMMY L BAKEBERG
Physical Therapist


Address: 2762 Donnelly Dr Nw, Buffalo, MN 55313

TAMMY L BAKEBERG (Credential# 691847) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license expiration date date is October 31, 1998. The license status is INACTIVE.

Business Overview

TAMMY L BAKEBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006271. The credential type is physical therapist. The expiration date is October 31, 1998. The business address is 2762 Donnelly Dr Nw, Buffalo, MN 55313. The current status is inactive.

Basic Information

Licensee Name TAMMY L BAKEBERG
Credential ID 691847
Credential Number 14.006271
Credential Type Physical Therapist
Business Address 2762 Donnelly Dr Nw
Buffalo
MN 55313
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-09-18
Expiration Date 1998-10-31
Refresh Date 2009-07-08

Office Location

Street Address 2762 DONNELLY DR NW
City BUFFALO
State MN
Zip Code 55313

Licenses in the same zip code

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Hope Alison Kurtz 685 14th St Nw, Buffalo, MN 55313-4446 Registered Nurse - Temporary 2018-12-28 ~ 2019-04-27
Leeann D Oberaigner 2240 Longhorn Ln, Buffalo, MN 55313-5043 Registered Nurse 2019-08-01 ~ 2020-07-31
Carrie Spaude 618 Caroline Path, Buffalo, MN 55313-9929 Registered Nurse 2020-05-01 ~ 2021-04-30

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Competitor

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City BUFFALO
Zip Code 55313
License Type Physical Therapist
License Type + County Physical Therapist + BUFFALO

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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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