License holder summary

GEORGIANNA FORMAN TATA is a Physical Therapist licensed to practice in Connecticut. The address on file for GEORGIANNA FORMAN TATA is 219 MATTHEW STREET, Prospect, CT, 06712. This licensed professional license is current. The license was granted 05/01/2014 and expired on 04/30/2015.

Connecticut

Department of Consumer Protection

GEORGIANNA FORMAN TATA
Physical Therapist
License number
6595
Date granted
05/01/2014
Date expires
04/30/2015
Class
Physical Therapist
Status
Active
Address
219 MATTHEW STREET, Prospect, CT, 06712
ctlicensing.org
ID 4299028
LAST UPDATED 2026-03-19 03:09:32 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with GEORGIANNA FORMAN TATA's work? Add a comment below. You can write anonymously and without having to create an account.

0 Comments

Posting anonymously

Similar names
Trending