MERCEDES DIAZ-GENTILE (Credential# 786286) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
MERCEDES DIAZ-GENTILE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000144. The credential type is physical therapist assistant. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 229 Spindle Hill Rd., Wolcott, CT 06716. The current status is active.
| Licensee Name | MERCEDES DIAZ-GENTILE |
| Credential ID | 786286 |
| Credential Number | 63.000144 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
229 Spindle Hill Rd. Wolcott CT 06716 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-09-04 |
| Street Address | 229 Spindle Hill Rd. |
| City | Wolcott |
| State | CT |
| Zip Code | 06716 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Estelle Loureiro | 90 Averyll Ave, Wolcott, CT 06716 | Esthetician | ~ |
| Mary Ann T Scozzafava | 4 Cambridge Drive, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Suzanne M Anderson · Andersen | 112 Potuccos Ring Road, Wolcott, CT 06716 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Wolcott Stove & Camping Ctr | 1623 Wolcott Rd, Wolcott, CT 06716 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Amanda L Thompson | 1529 Woodtick Road, Wolcott, CT 06716 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Brian Menzies | 11 Longmeadow Drive Extension, Wolcott, CT 06716 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Alayna Jean Freer | 5 Evas Terrace, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ronald S Jurzyk | 464 Wolcott Road, Wolcott, CT 06716 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Subway #11588 | 654 Wolcott Road, Wolcott, CT 06716 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan G Manzolino | 130 Long Meadow Dr, Wolcott, CT 06716 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06716 | |||
| City | Wolcott |
| Zip Code | 06716 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + Wolcott |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank A Gentile | 5 Fundy Road, Falmouth, ME 04105 | Physical Therapist | 2015-06-01 ~ 2016-05-31 |
| Janet E Gentile | 7976 Cranes Pointe Way, West Palm Beach, FL 33412 | Physical Therapist | 2012-05-01 ~ 2013-04-30 |
| Joseph F Gentile | 5722 Golden Eagle Circle, Palm Beach Gardens, FL 33418 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Xiomara Diaz | 1 Morton St, Norwalk, CT 06854 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Carmen M Diaz | 4320 Deer Run, Little River, SC 29566 | Physical Therapist | 1998-09-23 ~ 1999-11-30 |
| Lorraine Diaz | 18 Shari Drive, Seymour, CT 06483 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Rosadel Galimba Diaz | 206 Washington St, Norwich, CT 06360 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Mercedes Diaz | 93 Revere Street, Waterbury, CT 06708 | Medication Administration Certification | 2019-07-19 ~ 2021-07-19 |
| Richard A Diaz | 14 Branch Lane, East Setauket, NY 11733 | Physical Therapist | 2000-12-18 ~ 2001-12-31 |
| Bianca Diaz Maranan | Blk. 3 Lot 26 Camella Townhomes 2, Putatan, Muntinlupa, PH 1772 | Physical Therapist | ~ |
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| 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).