OLIVIA C BAGDORF
Physical Therapist


Address: 134 Primrose Dr, Longmeadow, MA 01106-2534

OLIVIA C BAGDORF (Credential# 1351275) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

OLIVIA C BAGDORF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011075. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 134 Primrose Dr, Longmeadow, MA 01106-2534. The current status is active.

Basic Information

Licensee Name OLIVIA C BAGDORF
Credential ID 1351275
Credential Number 14.011075
Credential Type Physical Therapist
Business Address 134 Primrose Dr
Longmeadow
MA 01106-2534
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-07-29
Effective Date 2020-01-01
Expiration Date 2020-12-31
Refresh Date 2019-11-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1354974 14.010901-TEMP PT Temporary Permit 2016-05-18 2016-05-18 - 2016-07-29 INACTIVE

Office Location

Street Address 134 PRIMROSE DR
City LONGMEADOW
State MA
Zip Code 01106-2534

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Competitor

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City LONGMEADOW
Zip Code 01106
License Type Physical Therapist
License Type + County Physical Therapist + LONGMEADOW

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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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