TIMOTHY E GRABOSKI
Physical Therapist Assistant


Address: 24 Woodstock Drive, Manchester, CT 06042

TIMOTHY E GRABOSKI (Credential# 786368) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

TIMOTHY E GRABOSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000226. The credential type is physical therapist assistant. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 24 Woodstock Drive, Manchester, CT 06042. The current status is active.

Basic Information

Licensee Name TIMOTHY E GRABOSKI
Credential ID 786368
Credential Number 63.000226
Credential Type Physical Therapist Assistant
Business Address 24 Woodstock Drive
Manchester
CT 06042
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-01-12
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-08-02

Office Location

Street Address 24 Woodstock Drive
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 Assistant
License Type + County Physical Therapist Assistant + 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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