BIANCA M MARMOLEJOS
Physical Therapist Assistant


Address: 137 Union City Rd, Prospect, CT 06712-1031

BIANCA M MARMOLEJOS (Credential# 786508) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is APPROVED.

Business Overview

BIANCA M MARMOLEJOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000366. The credential type is physical therapist assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 137 Union City Rd, Prospect, CT 06712-1031. The current status is approved.

Basic Information

Licensee Name BIANCA M MARMOLEJOS
Credential ID 786508
Credential Number 63.000366
Credential Type Physical Therapist Assistant
Business Address 137 Union City Rd
Prospect
CT 06712-1031
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 1998-02-09
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-27

Office Location

Street Address 137 UNION CITY RD
City PROSPECT
State CT
Zip Code 06712-1031

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Michelle K Bathgate 23 Nancy Mae Avenue, Prospect, CT 06712 Radiographer 2020-09-01 ~ 2021-08-31
Czarina V Gillette 7 Juggernaut Road, Prospect, CT 06712 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City PROSPECT
Zip Code 06712
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + PROSPECT

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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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