JESSICA M BIRNBAUM (Credential# 694079) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
JESSICA M BIRNBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008504. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 30 Clinton Hollow Rd, Salt Point, NY 12578-2419. The current status is active.
| Licensee Name | JESSICA M BIRNBAUM |
| Credential ID | 694079 |
| Credential Number | 14.008504 |
| Credential Type | Physical Therapist |
| Business Address |
30 Clinton Hollow Rd Salt Point NY 12578-2419 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-03-19 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 787010 | 63.000869 | Physical Therapist Assistant | 2005-07-20 | 2007-09-18 - 2007-11-30 | INACTIVE |
| Street Address | 30 CLINTON HOLLOW RD |
| City | SALT POINT |
| State | NY |
| Zip Code | 12578-2419 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan M Parisi | 12 Forest Meadow Drive, Salt Point, NY 12578 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Susan G Scott-herman | 68 Robinson Road, Saltpoint, NY 12578 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Heather M Croner | 346 Fowler Road, Salt Point, NY 12578 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Dawn M G Whitten | 57 Red Fox Lane, Salt Point, NY 12578 | Notary Public Appointment | 2018-08-01 ~ 2023-07-31 |
| Amanda Marie Cook | 205 Marshall Road, Salt Point, NY 12578 | Registered Nurse | 2018-08-02 ~ 2019-03-31 |
| D Hartwell Contracting Inc | Rte 82, Salt Point, NY 12578 | Home Improvement Contractor | 2002-07-23 ~ 2002-11-30 |
| James V Femenella | 48 Hibernia Rd, Salt Point, NY 12578 | Repairer of Weighing & Measuring Devices | 2002-01-18 ~ 2002-12-31 |
| Scott T Chamberlain | 199 Marshall Rd, Salt Point, NY 12578 | Land Surveyor | 2012-02-01 ~ 2013-01-31 |
| Mary M Lackey | 262 Davis Road, Salt Point, NY 12578 | Registered Nurse | 2016-01-01 ~ 2016-12-31 |
| Mary M Boyd · Laroche | 5111 Rt 82, Salt Point, NY 12578 | Registered Nurse | 2015-11-01 ~ 2016-10-31 |
| Find all Licenses in zip 12578 | |||
| City | SALT POINT |
| Zip Code | 12578 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + SALT POINT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura K Birnbaum | 9 Bushnell Ln, Madison, CT 06443-3151 | Physical Therapist | 2017-08-07 ~ 2018-05-31 |
| Judith W Birnbaum | 57 Regent Ct, Stamford, CT 06907 | Physical Therapist | 2017-06-01 ~ 2018-05-31 |
| Jane Birnbaum | 93 Witch Lane, Rowayton, CT 06853 | Real Estate Salesperson | 1995-05-01 ~ 1996-05-31 |
| Jessica E Leger | 93 Brantwood Rd Apt 1, Worcester, MA 01602-1771 | Physical Therapist | ~ |
| Jessica Buckley | 41 Crofut Rd, Naugatuck, CT 06770-1502 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Jessica Rose Bocek | 45 Evergreen Ln, Southington, CT 06489-2705 | Physical Therapist | ~ |
| Jessica B Shaw | 202 Kings Hwy, Fairfield, CT 06825 | Physical Therapist | 2018-04-01 ~ 2019-03-31 |
| Jessica L Barszcz | 230 Albright Ave, Stratford, CT 06614-3005 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Jessica H Curran | 14 Spruce St, Stratford, CT 06615-7903 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Jessica L Bassett | 35 Watson Rd, Vernon, CT 06066-3905 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JESSICA M BIRNBAUM.
| 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).