TODD PROVOST, PTA

PTA

Physical Therapy Assistant

NPI: 1134311962Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

007915(MA)

Contact & Hours

Address: 673 COTTAGE GROVE RD
BLOOMFIELD, CT 06002
Phone: (860) 286-1043

Quick Facts

NPI: 1134311962
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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