MONICA J. COPENHAVER
Physical Therapist


Address: 1924 S Osprey Dr, Ridgefield, WA 98642-8009

MONICA J. COPENHAVER (Credential# 997301) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.

Business Overview

MONICA J. COPENHAVER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009186. The credential type is physical therapist. The effective date is September 1, 2011. The expiration date is September 30, 2012. The business address is 1924 S Osprey Dr, Ridgefield, WA 98642-8009. The current status is inactive.

Basic Information

Licensee Name MONICA J. COPENHAVER
Credential ID 997301
Credential Number 14.009186
Credential Type Physical Therapist
Business Address 1924 S Osprey Dr
Ridgefield
WA 98642-8009
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-09-01
Effective Date 2011-09-01
Expiration Date 2012-09-30
Refresh Date 2014-07-24

Office Location

Street Address 1924 S OSPREY DR
City RIDGEFIELD
State WA
Zip Code 98642-8009

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Competitor

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City RIDGEFIELD
Zip Code 98642
License Type Physical Therapist
License Type + County Physical Therapist + RIDGEFIELD

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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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