Shelley E Buntz Physical Therapist
186 S Main St, West Hartford, CT 061073452


Shelley E Buntz is licensed in the eLicensing system of Connecticut. The license credential ID is 1158906. The license type is Physical Therapist. The license status is ACTIVE. The address is 186 S Main St, West Hartford, CT 061073452. The zip code is 06107.


Shelley E Buntz · 186 S Main St, West Hartford, CT 061073452

Credential ID 1158906
Name SHELLEY E BUNTZ
Type INDIVIDUAL
Address 186 S MAIN ST
WEST HARTFORD, CT 061073452
License Credential Physical Therapist
Full Credential Code 14.009720
Credential Type 14
Credential Number 9720
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 04/18/2013
Effective Date 03/01/2016
Expiration Date 02/28/2017
Record Refresh Date 03/02/201

Zip 06107 · Physical Therapist · Connecticut Business

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