Kathleen M Jacobsen Physical Therapist
52 White Birch Dr, Guilford, CT 06437


Kathleen M Jacobsen is licensed in the eLicensing system of Connecticut. The license credential ID is 689133. The license type is Physical Therapist. The license status is ACTIVE. The address is 52 White Birch Dr, Guilford, CT 06437. The zip code is 06437.


Kathleen M Jacobsen · 52 White Birch Dr, Guilford, CT 06437

Credential ID 689133
Name KATHLEEN M JACOBSEN
Type INDIVIDUAL
Address 52 WHITE BIRCH DR
GUILFORD, CT 06437
License Credential Physical Therapist
Full Credential Code 14.003272
Credential Type 14
Credential Number 3272
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 08/16/1984
Effective Date 08/01/2016
Expiration Date 07/31/2017
Record Refresh Date 06/01/201

Zip 06437 · Physical Therapist · Connecticut Business

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