Connecticut
Department of Consumer Protection
LISA WAGNER
Physical Therapist Assistant
License number
858
Date granted
06/14/2005
Date expires
12/31/2014
Class
Physical Therapist Assistant
Status
Active
Address
24 PUTNAM STREET, Hartford, MANCHESTER, CT, 06040
ctlicensing.org
ID 4310127
LAST UPDATED 2026-04-14 18:31:10 UTC
LAST UPDATED 2026-04-14 18:31:10 UTC
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