ANDREA BORECK WORD
Physical Therapist


Address: 401 Commons Park S Unit 469, Stamford, CT 06902-7134

ANDREA BORECK WORD (Credential# 1228661) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.

Business Overview

ANDREA BORECK WORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010294. The credential type is physical therapist. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 401 Commons Park S Unit 469, Stamford, CT 06902-7134. The current status is inactive.

Basic Information

Licensee Name ANDREA BORECK WORD
Credential ID 1228661
Credential Number 14.010294
Credential Type Physical Therapist
Business Address 401 Commons Park S Unit 469
Stamford
CT 06902-7134
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-09-02
Effective Date 2016-10-01
Expiration Date 2017-09-30
Refresh Date 2018-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1231698 14.010179-TEMP PT Temporary Permit 2014-06-27 2014-06-27 - 2014-09-02 INACTIVE

Office Location

Street Address 401 COMMONS PARK S UNIT 469
City STAMFORD
State CT
Zip Code 06902-7134

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Tammy M Phillips 401 Commons Park S Unit 466, Stamford, CT 06902-7134 Registered Nurse 2020-05-01 ~ 2021-04-30

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Competitor

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City STAMFORD
Zip Code 06902
License Type Physical Therapist
License Type + County Physical Therapist + STAMFORD

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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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