TAMARA DRAGON
Physical Therapist


Address: 28 Parallel Street, Springfield, MA 01104

TAMARA DRAGON (Credential# 692423) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 25, 2005. The license expiration date date is July 31, 2006. The license status is INACTIVE.

Business Overview

TAMARA DRAGON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006848. The credential type is physical therapist. The effective date is July 25, 2005. The expiration date is July 31, 2006. The business address is 28 Parallel Street, Springfield, MA 01104. The current status is inactive.

Basic Information

Licensee Name TAMARA DRAGON
Credential ID 692423
Credential Number 14.006848
Credential Type Physical Therapist
Business Address 28 Parallel Street
Springfield
MA 01104
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-03-19
Effective Date 2005-07-25
Expiration Date 2006-07-31
Refresh Date 2009-07-08

Office Location

Street Address 28 PARALLEL STREET
City SPRINGFIELD
State MA
Zip Code 01104

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Competitor

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City SPRINGFIELD
Zip Code 01104
License Type Physical Therapist
License Type + County Physical Therapist + SPRINGFIELD

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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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