TERESA M VANDAM
Physical Therapist


Address: 66 Burbank Drive, Stratford, CT 06614

TERESA M VANDAM (Credential# 688405) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.

Business Overview

TERESA M VANDAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.002173. The credential type is physical therapist. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 66 Burbank Drive, Stratford, CT 06614. The current status is inactive.

Basic Information

Licensee Name TERESA M VANDAM
Credential ID 688405
Credential Number 14.002173
Credential Type Physical Therapist
Business Address 66 Burbank Drive
Stratford
CT 06614
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-11-25
Effective Date 2010-04-01
Expiration Date 2011-03-31
Refresh Date 2011-07-01

Office Location

Street Address 66 Burbank Drive
City Stratford
State CT
Zip Code 06614

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Courtney M Blaze 90 Mercer Street, Stratford, CT 06614 Massage Therapist 2020-07-01 ~ 2022-06-30
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Alan Goldberg 1825 Barnum Ave, Stratford, CT 06614 Dentist 2020-09-01 ~ 2021-08-31
Kimberly L Matakevich 1367 Nichols Avenue, Stratford, CT 06614 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Marybeth Nemergut 990 Chapel St, Stratford, CT 06614 Registered Nurse 2020-08-01 ~ 2021-07-31
Geraldine C Corry 135 Wigwam Lane, Stratford, CT 06614 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Kathleen Sajgovic 300 Post Oak Rd, Stratford, CT 06614 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City Stratford
Zip Code 06614
License Type Physical Therapist
License Type + County Physical Therapist + Stratford

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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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