PHILLIP HEADRICK
Physical Therapist


Address: 4201 Massachusetts Ave. N.w., Washington, DC 20016

PHILLIP HEADRICK (Credential# 692142) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 16, 2000. The license expiration date date is November 30, 2000. The license status is INACTIVE.

Business Overview

PHILLIP HEADRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006567. The credential type is physical therapist. The effective date is February 16, 2000. The expiration date is November 30, 2000. The business address is 4201 Massachusetts Ave. N.w., Washington, DC 20016. The current status is inactive.

Basic Information

Licensee Name PHILLIP HEADRICK
Credential ID 692142
Credential Number 14.006567
Credential Type Physical Therapist
Business Address 4201 Massachusetts Ave. N.w.
Washington
DC 20016
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-02-16
Effective Date 2000-02-16
Expiration Date 2000-11-30
Refresh Date 2009-07-08

Office Location

Street Address 4201 Massachusetts Ave. N.W.
City Washington
State DC
Zip Code 20016

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City Washington
Zip Code 20016
License Type Physical Therapist
License Type + County Physical Therapist + Washington

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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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