MARY GRACE G DOCTORA
Physical Therapist


Address: 177 Riverside St # 3, Oakville, CT 06779-1537

MARY GRACE G DOCTORA (Credential# 1258760) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

MARY GRACE G DOCTORA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010413. The credential type is physical therapist. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 177 Riverside St # 3, Oakville, CT 06779-1537. The current status is active.

Basic Information

Licensee Name MARY GRACE G DOCTORA
Credential ID 1258760
Credential Number 14.010413
Credential Type Physical Therapist
Business Address 177 Riverside St # 3
Oakville
CT 06779-1537
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-02-20
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-06-03

Office Location

Street Address 177 RIVERSIDE ST # 3
City OAKVILLE
State CT
Zip Code 06779-1537

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Gayle M Nelson 180 Ball Farm Road, Oakville, CT 06779 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kim Ann Barnes 166 Ice House Road, Oakville, CT 06779 Esthetician 2020-06-19 ~ 2021-07-31
Deborah A Norton 186 Eaton St, Oakville, CT 06779 Registered Nurse 2020-09-01 ~ 2021-08-31
Kenecticut Hardware 3 Harvard St, Oakville, CT 06779 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Danielle Hillman 225 Colonial St., Oakville, CT 06779 Medication Administration Certification 2020-07-19 ~ 2022-07-18
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Competitor

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City OAKVILLE
Zip Code 06779
License Type Physical Therapist
License Type + County Physical Therapist + OAKVILLE

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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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