MADISON STANLEY
Physical Therapist Assistant


Address: 150 Glover Ave Apt 109, Norwalk, CT 06850-1396

MADISON STANLEY (Credential# 1663782) is licensed (Physical Therapist Assistant) 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.

Business Overview

MADISON STANLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.002027. The credential type is physical therapist assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 150 Glover Ave Apt 109, Norwalk, CT 06850-1396. The current status is active.

Basic Information

Licensee Name MADISON STANLEY
Credential ID 1663782
Credential Number 63.002027
Credential Type Physical Therapist Assistant
Business Address 150 Glover Ave Apt 109
Norwalk
CT 06850-1396
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-16
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-12-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1667828 63.002014-TEMP PTA Temporary Permit 2019-06-12 2019-06-12 - 2019-07-16 INACTIVE

Office Location

Street Address 150 GLOVER AVE APT 109
City NORWALK
State CT
Zip Code 06850-1396

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Competitor

Search similar business entities

City NORWALK
Zip Code 06850
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + NORWALK

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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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