KELLIE A KULICK
Physical Therapist Assistant


Address: 3 Frazier St., Mystic, CT 06355

KELLIE A KULICK (Credential# 786753) is licensed (Physical Therapist Assistant) 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

KELLIE A KULICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000612. The credential type is physical therapist assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 3 Frazier St., Mystic, CT 06355. The current status is active.

Basic Information

Licensee Name KELLIE A KULICK
Credential ID 786753
Credential Number 63.000612
Credential Type Physical Therapist Assistant
Business Address 3 Frazier St.
Mystic
CT 06355
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1996-11-01
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-06-01

Office Location

Street Address 3 Frazier St.
City Mystic
State CT
Zip Code 06355

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Patricia A Halvordson 287 Judson Avenue, Mystic, CT 06355 Dietitian/nutritionist 2020-09-01 ~ 2021-08-31
Adam A Velez 78 Denison Avenue, Mystic, CT 06355 Real Estate Salesperson ~
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Mark A Comeau 6 School Street, Mystic, CT 06355 Architect 2020-08-01 ~ 2021-07-31
Mekhael E Srour 2 Stonington Road, Mystic, CT 06355 Real Estate Salesperson ~
Courtney Jane Littlewood 244 High Meadow Ln, Mystic, CT 06355 Master's Level Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City Mystic
Zip Code 06355
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Mystic

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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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