NAAMA VINE
Physical Therapist


Address: 640 Mix Avenue, Hamden, CT 06514

NAAMA VINE (Credential# 690868) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 19, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.

Business Overview

NAAMA VINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005289. The credential type is physical therapist. The effective date is March 19, 1996. The expiration date is April 30, 1997. The business address is 640 Mix Avenue, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name NAAMA VINE
Credential ID 690868
Credential Number 14.005289
Credential Type Physical Therapist
Business Address 640 Mix Avenue
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-08-11
Effective Date 1996-03-19
Expiration Date 1997-04-30
Refresh Date 2009-07-08

Office Location

Street Address 640 MIX AVENUE
City HAMDEN
State CT
Zip Code 06514

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Yvonne Williams 640 Mix Avenue, Hamden, CT 06514 Medication Administration Certification 2019-05-15 ~ 2021-05-14
Melissa J Graham 640 Mix Avenue, Hamden, CT 06514 Physical Therapist 2007-05-01 ~ 2008-06-30
Henry E Moore 640 Mix Avenue, Hamden, CT 06514 Pharmacist 2004-09-01 ~ 2005-01-31
Mary Ann Ketre 640 Mix Avenue, Hamden, CT 06514 Notary Public Appointment 1975-09-01 ~ 1980-03-31

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Linda C Disbrow 61 Sherman Lane, Hamden, CT 06514 Registered Nurse 2020-09-01 ~ 2021-08-31
Kimberly Marie Fernandes 660 Mix Ave #1h, Hamden, CT 06514 Radiographer 2020-07-01 ~ 2021-06-30
Marie Junie Cyril 175 Oberlin Road, Hamden, CT 06514 Registered Nurse 2020-09-01 ~ 2021-08-31
Erica Weiss 4 Partridge Crossing, Hamden, CT 06514 Physician/surgeon 2020-07-01 ~ 2021-06-30
Kimberly S Traverso 50 Building Brook Road, Hamden, CT 06514 Professional Counselor 2020-08-01 ~ 2021-07-31
Kevin A Guess 3rd Street, Hamden, CT 06514 Public Weigher 2020-06-12 ~ 2021-06-30
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Competitor

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City HAMDEN
Zip Code 06514
License Type Physical Therapist
License Type + County Physical Therapist + HAMDEN

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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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