TARA E TICOMB
Physical Therapist Assistant


Address: 530 13th St, Virginia Beach, VA 23451-4313

TARA E TICOMB (Credential# 786998) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.

Business Overview

TARA E TICOMB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000857. The credential type is physical therapist assistant. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is 530 13th St, Virginia Beach, VA 23451-4313. The current status is inactive.

Basic Information

Licensee Name TARA E TICOMB
Credential ID 786998
Credential Number 63.000857
Credential Type Physical Therapist Assistant
Business Address 530 13th St
Virginia Beach
VA 23451-4313
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-06-13
Effective Date 2014-05-01
Expiration Date 2015-04-30
Refresh Date 2015-08-05

Office Location

Street Address 530 13TH ST
City VIRGINIA BEACH
State VA
Zip Code 23451-4313

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Linda D Aldino · Joseph J Peter 2229 Ebb Tide Road, Virginia Beach, VA 23451 Real Estate Salesperson 1998-06-30 ~ 1999-05-31
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Competitor

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City VIRGINIA BEACH
Zip Code 23451
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + VIRGINIA BEACH

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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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