AMY M ARCHIDIACONO
Physical Therapist


Address: 43 Emerson Gardens, Lexington, MA 02420

AMY M ARCHIDIACONO (Credential# 692570) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2006. The license expiration date date is April 30, 2007. The license status is INACTIVE.

Business Overview

AMY M ARCHIDIACONO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006995. The credential type is physical therapist. The effective date is August 1, 2006. The expiration date is April 30, 2007. The business address is 43 Emerson Gardens, Lexington, MA 02420. The current status is inactive.

Basic Information

Licensee Name AMY M ARCHIDIACONO
Credential ID 692570
Credential Number 14.006995
Credential Type Physical Therapist
Business Address 43 Emerson Gardens
Lexington
MA 02420
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-09-24
Effective Date 2006-08-01
Expiration Date 2007-04-30
Refresh Date 2009-07-08

Office Location

Street Address 43 EMERSON GARDENS
City LEXINGTON
State MA
Zip Code 02420

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Competitor

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City LEXINGTON
Zip Code 02420
License Type Physical Therapist
License Type + County Physical Therapist + LEXINGTON

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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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