AMBER FAKE
Physical Therapist


Address: 35 Woodsedge Dr, Newington, CT 06111

AMBER FAKE (Credential# 1598029) 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

AMBER FAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012032. The credential type is physical therapist. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 35 Woodsedge Dr, Newington, CT 06111. The current status is active.

Basic Information

Licensee Name AMBER FAKE
Credential ID 1598029
Credential Number 14.012032
Credential Type Physical Therapist
Business Address 35 Woodsedge Dr
Newington
CT 06111
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-09-24
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-07-01

Office Location

Street Address 35 woodsedge Dr
City Newington
State CT
Zip Code 06111

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Leeann R Johnson 17 Cinnamon Rd, Newington, CT 06111 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Isma Mian 65 Cortland Way, Newington, CT 06111 Physician/surgeon ~
Danielle Rocha 1582 Willard Ave, Newington, CT 06111 Notary Public Appointment 2020-06-26 ~ 2025-06-30
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Shandea Edwards 21 Hartford Ave #14, Newington, CT 06111 Medication Administration Certification ~
Hengchao Xiong 47 Adam Dr, Newington, CT 06111 Nail Technician ~
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Competitor

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City Newington
Zip Code 06111
License Type Physical Therapist
License Type + County Physical Therapist + Newington

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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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