MELISSA S BOUTAGY
Physical Therapist


Address: 113 Hillcrest Ave, Hamden, CT 06514-3503

MELISSA S BOUTAGY (Credential# 1286994) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

MELISSA S BOUTAGY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010516. The credential type is physical therapist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 113 Hillcrest Ave, Hamden, CT 06514-3503. The current status is active.

Basic Information

Licensee Name MELISSA S BOUTAGY
Credential ID 1286994
Credential Number 14.010516
Credential Type Physical Therapist
Business Address 113 Hillcrest Ave
Hamden
CT 06514-3503
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-06-09
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-09-04

Office Location

Street Address 113 HILLCREST AVE
City HAMDEN
State CT
Zip Code 06514-3503

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Competitor

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City HAMDEN
Zip Code 06514
License Type Physical Therapist
License Type + County Physical Therapist + HAMDEN

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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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