SIOBHAN M MANGAN
Physical Therapist


Address: 429 E 65th St Apt 2, New York, NY 10065-6966

SIOBHAN M MANGAN (Credential# 933492) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.

Business Overview

SIOBHAN M MANGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008818. The credential type is physical therapist. The effective date is June 1, 2010. The expiration date is June 30, 2011. The business address is 429 E 65th St Apt 2, New York, NY 10065-6966. The current status is inactive.

Basic Information

Licensee Name SIOBHAN M MANGAN
Credential ID 933492
Credential Number 14.008818
Credential Type Physical Therapist
Business Address 429 E 65th St Apt 2
New York
NY 10065-6966
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-06-01
Effective Date 2010-06-01
Expiration Date 2011-06-30
Refresh Date 2011-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
927943 14.008815 Physical Therapist 2010-05-26 2010-05-26 - 2010-06-30 APPROVED

Office Location

Street Address 429 E 65TH ST APT 2
City NEW YORK
State NY
Zip Code 10065-6966

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Competitor

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City NEW YORK
Zip Code 10065
License Type Physical Therapist
License Type + County Physical Therapist + NEW YORK

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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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