MADISON NORA BERG
Physical Therapist Assistant


Address: 881 Pike Ave, Attleboro, MA 02703-5323

MADISON NORA BERG (Credential# 1533277) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.

Business Overview

MADISON NORA BERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001956. The credential type is physical therapist assistant. The effective date is October 11, 2018. The expiration date is September 30, 2019. The business address is 881 Pike Ave, Attleboro, MA 02703-5323. The current status is inactive.

Basic Information

Licensee Name MADISON NORA BERG
Credential ID 1533277
Credential Number 63.001956
Credential Type Physical Therapist Assistant
Business Address 881 Pike Ave
Attleboro
MA 02703-5323
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-10-11
Effective Date 2018-10-11
Expiration Date 2019-09-30
Refresh Date 2020-01-03

Office Location

Street Address 881 PIKE AVE
City ATTLEBORO
State MA
Zip Code 02703-5323

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Competitor

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City ATTLEBORO
Zip Code 02703
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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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