SCOTT H BACKOFEN
Physical Therapist


Address: 88 Ivy Way, Port Washington, NY 11050-3817

SCOTT H BACKOFEN (Credential# 916384) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2016. The license expiration date date is January 31, 2017. The license status is INACTIVE.

Business Overview

SCOTT H BACKOFEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008770. The credential type is physical therapist. The effective date is February 1, 2016. The expiration date is January 31, 2017. The business address is 88 Ivy Way, Port Washington, NY 11050-3817. The current status is inactive.

Basic Information

Licensee Name SCOTT H BACKOFEN
Credential ID 916384
Credential Number 14.008770
Credential Type Physical Therapist
Business Address 88 Ivy Way
Port Washington
NY 11050-3817
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-03-09
Effective Date 2016-02-01
Expiration Date 2017-01-31
Refresh Date 2017-05-06

Office Location

Street Address 88 IVY WAY
City PORT WASHINGTON
State NY
Zip Code 11050-3817

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Competitor

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City PORT WASHINGTON
Zip Code 11050
License Type Physical Therapist
License Type + County Physical Therapist + PORT WASHINGTON

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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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