STACY SMITH WAGNER
Physical Therapist


Address: 382 Bartlett Dr, Madison, CT 06443-1785

STACY SMITH WAGNER (Credential# 995416) is licensed (Physical Therapist) 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

STACY SMITH WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009052. The credential type is physical therapist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 382 Bartlett Dr, Madison, CT 06443-1785. The current status is active.

Basic Information

Licensee Name STACY SMITH WAGNER
Credential ID 995416
Credential Number 14.009052
Credential Type Physical Therapist
Business Address 382 Bartlett Dr
Madison
CT 06443-1785
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-04-29
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-01

Office Location

Street Address 382 BARTLETT DR
City MADISON
State CT
Zip Code 06443-1785

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
G Wagner Construction Inc 382 Bartlett Dr, Madison, CT 06443-1785 New Home Construction Contractor 2019-08-16 ~ 2021-09-30
Gregory Wagner 382 Bartlett Dr, Madison, CT 06443-1785 Real Estate Salesperson 2020-06-01 ~ 2021-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Richard D Tott 362 Bartlett Dr, Madison, CT 06443-1785 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
Kelsey O Cole 344 Bartlett Dr, Madison, CT 06443-1785 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

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Caitlyn Beverly Darosa Lyle Dr, Madison, CT 06443 Registered Nurse ~
Roberts Food Center · Rjf Inc Dba 514 Old Toll Rd, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Karen D Leonetti · Rapuano 553 Green Hill Rd, Madison, CT 06443 Radiographer 2020-09-01 ~ 2021-08-31
Pasquale Sabatasso 122 River Edge Farms Road, Madison, CT 06443 Barber 2020-07-01 ~ 2022-06-30
Madision Health Foods · Jum Ok Coker 59 Wall St, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Madison Community Services Inc. P.o. Box 148, Madison, CT 06443 Public Charity 2020-12-01 ~ 2021-11-30
Shaina Michele Levinson 52 East Wharf Rd, Madison, CT 06443 Master's Level Social Worker ~
Stephen G Lynch · Lynch, Stephen Gerard 12 Milestone Lane, Madison, CT 06443 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
David F Courtney Md 38 Old Duck Hole Road, Madison, CT 06443 Physician/surgeon 2020-07-01 ~ 2021-06-30
Sydni E Marmor 560 Opening Hill Road, Madison, CT 06443 Professional Counselor 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06443

Competitor

Search similar business entities

City MADISON
Zip Code 06443
License Type Physical Therapist
License Type + County Physical Therapist + MADISON

Similar businesses

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Stacy-ann T Smith 54 Sunnyfield Dr, Windsor, CT 06095-3258 Physical Therapist 2020-08-01 ~ 2021-07-31
Claudia J Wagner 21 Quarry Rd, Granby, CT 06035 Physical Therapist 2013-07-01 ~ 2014-06-30
Cindy Wagner 30 Davis Hill Rd, Weston, CT 06883 Physical Therapist 2010-05-01 ~ 2011-04-30
Tina B Slesiona 25 Wagner Road, Westerly, RI 02891 Physical Therapist 2020-03-01 ~ 2021-02-28
Lisa M Wagner 24 Putnam Street, Manchester, CT 06040 Physical Therapist Assistant 2020-01-01 ~ 2020-12-31
Marilyn C Wagner 1807 Cornett Pl, Kissimmee, FL 34741-2005 Physical Therapist Assistant 2014-10-01 ~ 2015-09-30
Stacy M Oliveira 27 Castle St, Springfield, MA 01118-2123 Physical Therapist 2020-07-01 ~ 2021-06-30
Alyson Wagner 3530 Henry Hudson Pkwy Apt Phb, Bronx, NY 10463-1306 Physical Therapist 2019-12-01 ~ 2020-11-30
Stacy M Trice 1130 E Lebanon Rd, Dover, DE 19901-5837 Physical Therapist 2009-09-01 ~ 2010-09-30
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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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