MATTHEW G HENDERSON
Physical Therapist


Address: 28 Lanphiers Cove Rd, Branford, CT 06405-4951

MATTHEW G HENDERSON (Credential# 1082793) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 31, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.

Business Overview

MATTHEW G HENDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009501. The credential type is physical therapist. The effective date is July 31, 2012. The expiration date is May 31, 2013. The business address is 28 Lanphiers Cove Rd, Branford, CT 06405-4951. The current status is inactive.

Basic Information

Licensee Name MATTHEW G HENDERSON
Credential ID 1082793
Credential Number 14.009501
Credential Type Physical Therapist
Business Address 28 Lanphiers Cove Rd
Branford
CT 06405-4951
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-07-31
Effective Date 2012-07-31
Expiration Date 2013-05-31
Refresh Date 2014-07-24

Office Location

Street Address 28 LANPHIERS COVE RD
City BRANFORD
State CT
Zip Code 06405-4951

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Competitor

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City BRANFORD
Zip Code 06405
License Type Physical Therapist
License Type + County Physical Therapist + BRANFORD

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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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