STACEY L GARBERA
Physical Therapist Assistant


Address: 344 Pelican Drive, Groton, CT 06340

STACEY L GARBERA (Credential# 786827) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 5, 2002. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

STACEY L GARBERA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000686. The credential type is physical therapist assistant. The effective date is June 5, 2002. The expiration date is November 1, 2006. The business address is 344 Pelican Drive, Groton, CT 06340. The current status is inactive.

Basic Information

Licensee Name STACEY L GARBERA
Credential ID 786827
Credential Number 63.000686
Credential Type Physical Therapist Assistant
Business Address 344 Pelican Drive
Groton
CT 06340
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-06-05
Effective Date 2002-06-05
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 344 PELICAN DRIVE
City Groton
State CT
Zip Code 06340

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Competitor

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City Groton
Zip Code 06340
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Groton

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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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