KERRI L MICONI
Physical Therapist


Address: 109 Sutherland Road, North Attleboro, MA 02760

KERRI L MICONI (Credential# 691199) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 11, 1996. The license expiration date date is November 30, 1997. The license status is INACTIVE.

Business Overview

KERRI L MICONI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005622. The credential type is physical therapist. The effective date is October 11, 1996. The expiration date is November 30, 1997. The business address is 109 Sutherland Road, North Attleboro, MA 02760. The current status is inactive.

Basic Information

Licensee Name KERRI L MICONI
Credential ID 691199
Credential Number 14.005622
Credential Type Physical Therapist
Business Address 109 Sutherland Road
North Attleboro
MA 02760
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-08-30
Effective Date 1996-10-11
Expiration Date 1997-11-30
Refresh Date 2009-07-08

Office Location

Street Address 109 SUTHERLAND ROAD
City NORTH ATTLEBORO
State MA
Zip Code 02760

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Gregory A Shanahan 355 Kelley Blvd, North Attleboro, MA 02760 Professional Engineer 2014-02-01 ~ 2015-01-31
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Adam P Zysk 66 Raymond Hall Dr, N Attleboro, MA 02760 Professional Engineer 2020-02-01 ~ 2021-01-31
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Megan Grafton 481 Mendon Road, North Attleboro, MA 02760 Registered Nurse 2018-10-01 ~ 2019-09-30
Zayra I Castellanos 101 Church Street Apt 2, North Attleboro, MA 02760 Registered Nurse 2018-10-01 ~ 2019-09-30
Timothy A Elliott 180 Park Street - Unit 10, North Attleboro, MA 02760 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City NORTH ATTLEBORO
Zip Code 02760
License Type Physical Therapist
License Type + County Physical Therapist + NORTH ATTLEBORO

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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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