License holder summary

MICHELL WALLACE is a Physical Therapist Assistant licensed to practice in Connecticut. The address on file for MICHELL WALLACE is 2810 OLD TOWN RD, Fairfield, BRIDGEPORT, CT, 06606-1243. This licensed professional license is current. The license was granted 01/08/2008 and expired on 04/30/2015.

Connecticut

Department of Consumer Protection

MICHELL WALLACE
Physical Therapist Assistant
License number
988
Date granted
01/08/2008
Date expires
04/30/2015
Class
Physical Therapist Assistant
Status
Active
Address
2810 OLD TOWN RD, Fairfield, BRIDGEPORT, CT, 06606-1243
ctlicensing.org
ID 4310367
LAST UPDATED 2026-04-15 03:41:19 UTC

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

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