MICHELE M COSTA
Physical Therapist


Address: 499 Melville Ave, Fairfield, CT 06825

MICHELE M COSTA (Credential# 688701) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

MICHELE M COSTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.002609. The credential type is physical therapist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 499 Melville Ave, Fairfield, CT 06825. The current status is active.

Basic Information

Licensee Name MICHELE M COSTA
Credential ID 688701
Credential Number 14.002609
Credential Type Physical Therapist
Business Address 499 Melville Ave
Fairfield
CT 06825
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1980-09-08
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-11-01

Office Location

Street Address 499 MELVILLE AVE
City FAIRFIELD
State CT
Zip Code 06825

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Ellen H Costa 499 Melville Ave, Fairfield, CT 06432 Dental Hygienist 2002-01-22 ~ 2003-03-31

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Eva I Chiamulera 86 Brookfield Avenue, Fairfield, CT 06825 Landscape Architect 2020-08-01 ~ 2021-07-31
Suzanne P Taluy 558 Villa Ave, Fairfield, CT 06825 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Benjamin Allan Gott 262 Euclid Avenue, Fairfield, CT 06825 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Charles J Applebaum 841 Stratfield Rd, Fairfield, CT 06825 Dentist 2020-07-01 ~ 2021-06-30
Jeri Kriskey 1179 Merritt Street, Fairfield, CT 06825 Marital and Family Therapist Associate 2020-06-24 ~ 2022-06-24
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Competitor

Search similar business entities

City FAIRFIELD
Zip Code 06825
License Type Physical Therapist
License Type + County Physical Therapist + FAIRFIELD

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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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