SHADI MANZARI
Physical Therapist


Address: 400 E. 90th Street 14e, New York, NY 10128

SHADI MANZARI (Credential# 693293) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2005. The license expiration date date is September 30, 2006. The license status is INACTIVE.

Business Overview

SHADI MANZARI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007718. The credential type is physical therapist. The effective date is July 27, 2005. The expiration date is September 30, 2006. The business address is 400 E. 90th Street 14e, New York, NY 10128. The current status is inactive.

Basic Information

Licensee Name SHADI MANZARI
Credential ID 693293
Credential Number 14.007718
Credential Type Physical Therapist
Business Address 400 E. 90th Street 14e
New York
NY 10128
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-06-29
Effective Date 2005-07-27
Expiration Date 2006-09-30
Refresh Date 2009-07-08

Office Location

Street Address 400 E. 90th Street 14E
City New York
State NY
Zip Code 10128

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City New York
Zip Code 10128
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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