LAUREN E ODELL
Physical Therapist


Address: 20 Berkley Street, Manchester, CT 06042

LAUREN E ODELL (Credential# 693299) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

LAUREN E ODELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007724. The credential type is physical therapist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 20 Berkley Street, Manchester, CT 06042. The current status is active.

Basic Information

Licensee Name LAUREN E ODELL
Credential ID 693299
Credential Number 14.007724
Credential Type Physical Therapist
Business Address 20 Berkley Street
Manchester
CT 06042
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-07-06
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-03-03

Office Location

Street Address 20 Berkley Street
City Manchester
State CT
Zip Code 06042

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Jordan M Kaiser 40 Tanner St, Manchester, CT 06042 Registered Nurse 2020-06-01 ~ 2021-05-31
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James Power 16 Lawton Rd., Manchester, CT 06042 Medication Administration Certification 2018-08-03 ~ 2020-08-02
Tierra Amerson 66 Phelps Rd., Manchester, CT 06042 Medication Administration Certification 2018-07-02 ~ 2020-07-01
Lisa A Surdam 22 Greenwood Drive, Manchester, CT 06042 Notary Public Appointment 2020-06-01 ~ 2025-05-31
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Competitor

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City Manchester
Zip Code 06042
License Type Physical Therapist
License Type + County Physical Therapist + Manchester

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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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