TARA M DONNELLY
Physical Therapist


Address: 327 Northington Dr, Avon, CT 06001-2356

TARA M DONNELLY (Credential# 693057) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

TARA M DONNELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007482. The credential type is physical therapist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 327 Northington Dr, Avon, CT 06001-2356. The current status is active.

Basic Information

Licensee Name TARA M DONNELLY
Credential ID 693057
Credential Number 14.007482
Credential Type Physical Therapist
Business Address 327 Northington Dr
Avon
CT 06001-2356
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-03-01
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-04-01

Other licenses

ID Credential Code Credential Type Issue Term Status
239556 PTN.0003276 PHARMACY TECHNICIAN 2001-04-01 - 2002-03-31 INACTIVE

Office Location

Street Address 327 NORTHINGTON DR
City AVON
State CT
Zip Code 06001-2356

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Richard J Kaiser 72 Westland Road, Avon, CT 06001 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City AVON
Zip Code 06001
License Type Physical Therapist
License Type + County Physical Therapist + AVON

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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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