STEPHANIE A PICKREN
Physical Therapist


Address: 236 Blackmer Rd., Southbridge, MA 01550

STEPHANIE A PICKREN (Credential# 692681) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 26, 2002. The license expiration date date is September 30, 2003. The license status is INACTIVE.

Business Overview

STEPHANIE A PICKREN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007106. The credential type is physical therapist. The effective date is July 26, 2002. The expiration date is September 30, 2003. The business address is 236 Blackmer Rd., Southbridge, MA 01550. The current status is inactive.

Basic Information

Licensee Name STEPHANIE A PICKREN
Credential ID 692681
Credential Number 14.007106
Credential Type Physical Therapist
Business Address 236 Blackmer Rd.
Southbridge
MA 01550
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-04-15
Effective Date 2002-07-26
Expiration Date 2003-09-30
Refresh Date 2009-07-08

Office Location

Street Address 236 Blackmer Rd.
City Southbridge
State MA
Zip Code 01550

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Competitor

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City Southbridge
Zip Code 01550
License Type Physical Therapist
License Type + County Physical Therapist + Southbridge

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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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