NICOLE C PAVICK
Physical Therapist


Address: 330 East 48th St. #4b, New York, NY 10017

NICOLE C PAVICK (Credential# 693173) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 14, 2004. The license expiration date date is January 31, 2005. The license status is INACTIVE.

Business Overview

NICOLE C PAVICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007598. The credential type is physical therapist. The effective date is September 14, 2004. The expiration date is January 31, 2005. The business address is 330 East 48th St. #4b, New York, NY 10017. The current status is inactive.

Basic Information

Licensee Name NICOLE C PAVICK
Credential ID 693173
Credential Number 14.007598
Credential Type Physical Therapist
Business Address 330 East 48th St. #4b
New York
NY 10017
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-09-14
Effective Date 2004-09-14
Expiration Date 2005-01-31
Refresh Date 2009-07-08

Office Location

Street Address 330 East 48th St. #4B
City New York
State NY
Zip Code 10017

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Competitor

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City New York
Zip Code 10017
License Type Physical Therapist
License Type + County Physical Therapist + New York

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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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