TRISHA A WILBER
Physical Therapist


Address: 16353 W Lake Rd, Branchport, NY 14418-9127

TRISHA A WILBER (Credential# 991687) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2015. The license expiration date date is October 31, 2016. The license status is INACTIVE.

Business Overview

TRISHA A WILBER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009040. The credential type is physical therapist. The effective date is November 1, 2015. The expiration date is October 31, 2016. The business address is 16353 W Lake Rd, Branchport, NY 14418-9127. The current status is inactive.

Basic Information

Licensee Name TRISHA A WILBER
Credential ID 991687
Credential Number 14.009040
Credential Type Physical Therapist
Business Address 16353 W Lake Rd
Branchport
NY 14418-9127
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-04-11
Effective Date 2015-11-01
Expiration Date 2016-10-31
Refresh Date 2017-02-03

Office Location

Street Address 16353 W LAKE RD
City BRANCHPORT
State NY
Zip Code 14418-9127

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Bonnie M Weber 468 W Lake Rd, Branchport, NY 14418 Registered Nurse 2000-06-20 ~ 2001-07-31
John A Kogut 96 West Lake Rd, Branchport, NY 14418 Pharmacist 1995-04-01 ~ 1996-01-31

Competitor

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City BRANCHPORT
Zip Code 14418
License Type Physical Therapist
License Type + County Physical Therapist + BRANCHPORT

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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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