GRACE W BRUSIE
Physical Therapist


Address: 86 Jeffrey La, Newington, CT 06111

GRACE W BRUSIE (Credential# 687623) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.

Business Overview

GRACE W BRUSIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.000739. The credential type is physical therapist. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 86 Jeffrey La, Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name GRACE W BRUSIE
Credential ID 687623
Credential Number 14.000739
Credential Type Physical Therapist
Business Address 86 Jeffrey La
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1963-02-25
Effective Date 2014-11-01
Expiration Date 2015-10-31
Refresh Date 2016-02-03

Office Location

Street Address 86 JEFFREY LA
City NEWINGTON
State CT
Zip Code 06111

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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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