MELISSA J BOCHICCHIO
Physical Therapist Assistant


Address: 136 Dunham Dr, Berlin, CT 06037-3034

MELISSA J BOCHICCHIO (Credential# 1144008) is licensed (Physical Therapist Assistant) 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

MELISSA J BOCHICCHIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001328. The credential type is physical therapist assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 136 Dunham Dr, Berlin, CT 06037-3034. The current status is active.

Basic Information

Licensee Name MELISSA J BOCHICCHIO
Credential ID 1144008
Credential Number 63.001328
Credential Type Physical Therapist Assistant
Business Address 136 Dunham Dr
Berlin
CT 06037-3034
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-04-16
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1144312 63.001304-TEMP PTA Temporary Permit 2013-01-09 2013-01-09 - 2013-04-16 INACTIVE

Office Location

Street Address 136 DUNHAM DR
City BERLIN
State CT
Zip Code 06037-3034

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Kevin P Gallagher 206 Fairview Dr, Berlin, CT 06037 Embalmer 2020-07-01 ~ 2021-06-30
Stephanie M Sadlowski 28 Cynthia Drive, Kensington, CT 06037 Registered Nurse 2020-08-01 ~ 2021-07-31
Violet Pastorkova-jaouen 959 Four Rod Road, Berlin, CT 06037 Dietitian/nutritionist 2020-07-01 ~ 2021-06-30
Constantine S Buonanno Dmd 1105 Farmington Ave, Kensington, CT 06037 Dentist 2020-04-01 ~ 2021-03-31
Lisa Divalentino 23 Garden Drive, Kensington, CT 06037 Notary Public Appointment 2020-08-01 ~ 2025-07-31
William Dornfried 240 Kensington Road, Berlin, CT 06037 Water Treatment Plant Operator - Class I 2020-04-01 ~ 2023-03-31
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Competitor

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City BERLIN
Zip Code 06037
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + BERLIN

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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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