MARTI R MICHAEL
Physical Therapist


Address: 115 Woods End Rd, Chappaqua, NY 10514-3714

MARTI R MICHAEL (Credential# 692358) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2011. The license expiration date date is December 31, 2011. The license status is INACTIVE.

Business Overview

MARTI R MICHAEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006783. The credential type is physical therapist. The effective date is January 1, 2011. The expiration date is December 31, 2011. The business address is 115 Woods End Rd, Chappaqua, NY 10514-3714. The current status is inactive.

Basic Information

Licensee Name MARTI R MICHAEL
Credential ID 692358
Credential Number 14.006783
Credential Type Physical Therapist
Business Address 115 Woods End Rd
Chappaqua
NY 10514-3714
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-11-02
Effective Date 2011-01-01
Expiration Date 2011-12-31
Refresh Date 2012-04-03

Office Location

Street Address 115 WOODS END RD
City CHAPPAQUA
State NY
Zip Code 10514-3714

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City CHAPPAQUA
Zip Code 10514
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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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