License holder summary

FREDERICK MACMULLEN is a Physical Therapist Assistant licensed to practice in Connecticut. The address on file for FREDERICK MACMULLEN is 77 Crest Road, Hartford, Southington, CT, 06489. This licensed professional license is current. The license was granted 12/21/2000 and expired on 04/30/2015.

Connecticut

Department of Consumer Protection

FREDERICK MACMULLEN
Physical Therapist Assistant
License number
356
Date granted
12/21/2000
Date expires
04/30/2015
Class
Physical Therapist Assistant
Status
Active
Address
77 Crest Road, Hartford, Southington, CT, 06489
ctlicensing.org
ID 4309204
LAST UPDATED 2026-06-10 12:49:39 UTC

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