ANDREA H GOLDBERG
Physical Therapist


Address: 145 Grandview Ave., Waterbury, CT 06708

ANDREA H GOLDBERG (Credential# 692216) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 20, 2001. The license expiration date date is April 30, 2002. The license status is INACTIVE.

Business Overview

ANDREA H GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006641. The credential type is physical therapist. The effective date is March 20, 2001. The expiration date is April 30, 2002. The business address is 145 Grandview Ave., Waterbury, CT 06708. The current status is inactive.

Basic Information

Licensee Name ANDREA H GOLDBERG
Credential ID 692216
Credential Number 14.006641
Credential Type Physical Therapist
Business Address 145 Grandview Ave.
Waterbury
CT 06708
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-06-30
Effective Date 2001-03-20
Expiration Date 2002-04-30
Refresh Date 2009-07-08

Office Location

Street Address 145 Grandview Ave.
City Waterbury
State CT
Zip Code 06708

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City Waterbury
Zip Code 06708
License Type Physical Therapist
License Type + County Physical Therapist + Waterbury

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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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