Connecticut
Department of Consumer Protection
DOROTA BOLTRUCZUK
Physical Therapist Assistant
License number
1194
Date granted
09/13/2011
Date expires
06/30/2015
Class
Physical Therapist Assistant
Status
Active
Address
125 OAKLAWN AVE, Fairfield, STAMFORD, CT, 06905-3623
ctlicensing.org
ID 4308115
LAST UPDATED 2026-04-15 11:08:31 UTC
LAST UPDATED 2026-04-15 11:08:31 UTC
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