TANYA L HINCKLEY
Physical Therapist


Address: 22-g Redwood Drive, East Haven, CT 06513

TANYA L HINCKLEY (Credential# 691299) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2004. The license expiration date date is August 31, 2005. The license status is INACTIVE.

Business Overview

TANYA L HINCKLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005723. The credential type is physical therapist. The effective date is June 30, 2004. The expiration date is August 31, 2005. The business address is 22-g Redwood Drive, East Haven, CT 06513. The current status is inactive.

Basic Information

Licensee Name TANYA L HINCKLEY
Credential ID 691299
Credential Number 14.005723
Credential Type Physical Therapist
Business Address 22-g Redwood Drive
East Haven
CT 06513
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-02-21
Effective Date 2004-06-30
Expiration Date 2005-08-31
Refresh Date 2009-07-08

Office Location

Street Address 22-G REDWOOD DRIVE
City EAST HAVEN
State CT
Zip Code 06513

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City EAST HAVEN
Zip Code 06513
License Type Physical Therapist
License Type + County Physical Therapist + EAST HAVEN

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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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