KYLE J PETRUZZELLO (Credential# 1344887) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
KYLE J PETRUZZELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011012. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 335 Georgetown Dr, Watertown, CT 06795-3345. The current status is active.
Licensee Name | KYLE J PETRUZZELLO |
Credential ID | 1344887 |
Credential Number | 14.011012 |
Credential Type | Physical Therapist |
Business Address |
335 Georgetown Dr Watertown CT 06795-3345 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-07-27 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-11-01 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1357469 | 14.010940-TEMP | PT Temporary Permit | 2016-06-01 | 2016-06-01 - 2016-07-27 | INACTIVE |
Street Address | 335 GEORGETOWN DR |
City | WATERTOWN |
State | CT |
Zip Code | 06795-3345 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Taylor Mia Lundy | 265 Kimberly Ln, Watertown, CT 06795 | Registered Nurse | 2020-06-27 ~ 2020-11-30 |
Judith A Hill | 23 Malvern Hill Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carol Mancini Dumond | 57 Bryant, Watertown, CT 06795 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
Michelle J Stankus | 119 Edge Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Linda Z Terenzo · Grella | 215 Claxton Ave., Watertown, CT 06795 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Egbrid T30 Pr 9358 | 856 Echo Lake Rd, Watertown, CT 06795 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
Ana L Guaman | 1278 Main Street Ste 4, Watertown, CT 06795 | Nail Technician | ~ |
Eric A Tymula | 727 Park Rd, Watertown, CT 06795 | Tattoo Technician | 2020-03-01 ~ 2022-02-28 |
Margaret A Chilson | 259 Litchfield Road, Watertown, CT 06795 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
Laura L Rock | 187 Georgetown Drive, Watertown, CT 06795 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Find all Licenses in zip 06795 |
City | WATERTOWN |
Zip Code | 06795 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + WATERTOWN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sally A Petruzzello | Po Box 254, East Hampton, CT 06424-0254 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
Kyle Dorsey | 281 Foster St, South Windsor, CT 06074-2942 | Physical Therapist | ~ |
Kyle J Macdonald | 140 Robin Rd, Glastonbury, CT 06033-3202 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Kyle A Willets | 3 Pine Pl, Clinton, CT 06413-1919 | Physical Therapist | 2012-07-02 ~ 2013-07-31 |
Kyle B Cummings | 56 Valleywood Rd, Cos Cob, CT 06807-2331 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
Kyle Florence | 15 Sagamore Ln, Rocky Hill, CT 06067 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Diane W Lawrence | 300 Kyle Road, Crownsville, MD 21032 | Physical Therapist | 2016-02-01 ~ 2017-01-31 |
Kyle J Leonard | 120 Balfour Dr, West Hartford, CT 06117-2900 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
Kyle J Branday | 23 High Ridge Rd, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Kyle J Dorosh | 1 Ellen Dr, Beacon Falls, CT 06403-1507 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
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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).