MATTHEW T. OTTULICH (Credential# 1038812) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MATTHEW T. OTTULICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009404. The credential type is physical therapist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 25 Satterlee Rd, New Fairfield, CT 06812-3903. The current status is active.
| Licensee Name | MATTHEW T. OTTULICH |
| Credential ID | 1038812 |
| Credential Number | 14.009404 |
| Credential Type | Physical Therapist |
| Business Address |
25 Satterlee Rd New Fairfield CT 06812-3903 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-06-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1038855 | 14.009221-TEMP | PT Temporary Permit | 2011-10-24 | 2011-10-24 - 2012-02-24 | INACTIVE |
| Street Address | 25 SATTERLEE RD |
| City | NEW FAIRFIELD |
| State | CT |
| Zip Code | 06812-3903 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole R Knapp | 13 Satterlee Rd, New Fairfield, CT 06812-3903 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Pepin | 16 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | ~ |
| Antoinett L Crawford | 60 Beaver Bog, New Fairfield, CT 06812 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Goodie Shoppe LLC (the) | 1 Brush Hill Rd, New Fairfield, CT 06812 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Jeffrey R Logel · Fairwood Wine & Liquor | 17 Route 39 Shaw's Plaza, New Fairfield, CT 06812 | Package Store Liquor | 2020-08-11 ~ 2021-08-10 |
| Joseph G Dimyan | 1 Lloyd Avenue, New Fairfield, CT 06812 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Melanie Porter | 2 High Trail Ci Rd, New Fairfield, CT 06812 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Dara E O'toole | 15 Muller Street, New Fairfield, CT 06812 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Anita Michelle Thompson | 15 Bauer Road, New Fairfield, CT 06812 | Registered Nurse | ~ |
| Maureen Salerno · Schully | 4 Old Orchard Road, New Fairfield, CT 06812 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| John N Devito IIi IIi | 9 Cloverleaf Drive, New Fairfield, CT 06812 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06812 | |||
| City | NEW FAIRFIELD |
| Zip Code | 06812 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NEW FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew L Weston | 13 Jan Dr, Vernon, CT 06066-6211 | Physical Therapist | 2017-12-01 ~ 2018-11-30 |
| Matthew J Smith | Warren, MA 01083 | Physical Therapist | 2017-10-12 ~ 2018-10-31 |
| Matthew Denning | Po Box 346, Weare, NH 03281-0346 | Physical Therapist | 2016-05-26 ~ 2017-02-28 |
| Matthew W Anderson | 11 2nd Ave, Old Saybrook, CT 06475-1418 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Matthew M Calendrillo | Po Box 777, Granby, CT 06035-0777 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Matthew A Larkin | 781 Durham Rd, Madison, CT 06443-1828 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Matthew C Nash | 16 Russell Rd, Milford, CT 06460-7038 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Matthew J Malberti | 224 Beardsley Rd, Shelton, CT 06484-1844 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Matthew R Morissette | 234 Sherman Ave., Meriden, CT 06450 | Physical Therapist | 2008-02-20 ~ 2009-04-30 |
| Matthew R Dempsey | 24 Winthrop Ct, Milford, CT 06460-3423 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on MATTHEW T. OTTULICH.
| 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).