ELLEN R SHAPIRO
Physical Therapist


Address: 17 Canterbury Lane, Longmeadow, MA 01106

ELLEN R SHAPIRO (Credential# 691323) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 10, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.

Business Overview

ELLEN R SHAPIRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005747. The credential type is physical therapist. The effective date is December 10, 1999. The expiration date is December 31, 2000. The business address is 17 Canterbury Lane, Longmeadow, MA 01106. The current status is inactive.

Basic Information

Licensee Name ELLEN R SHAPIRO
Credential ID 691323
Credential Number 14.005747
Credential Type Physical Therapist
Business Address 17 Canterbury Lane
Longmeadow
MA 01106
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-03-14
Effective Date 1999-12-10
Expiration Date 2000-12-31
Refresh Date 2009-07-08

Office Location

Street Address 17 CANTERBURY LANE
City LONGMEADOW
State MA
Zip Code 01106

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Susan M Neville 43 Lincoln Road, Longmeadow, MA 01106 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City LONGMEADOW
Zip Code 01106
License Type Physical Therapist
License Type + County Physical Therapist + LONGMEADOW

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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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