License holder summary

AMY PROVENCAL is a Physical Therapist Assistant licensed to practice in Connecticut. The address on file for AMY PROVENCAL is 139 Charter Oak Avenue, East Haven, CT, 06512. This licensed professional license is current. The license was granted 01/04/1996 and expired on 09/30/2014.

Connecticut

Department of Consumer Protection

AMY PROVENCAL
Physical Therapist Assistant
License number
199
Date granted
01/04/1996
Date expires
09/30/2014
Class
Physical Therapist Assistant
Status
Active
Address
139 Charter Oak Avenue, East Haven, CT, 06512
ctlicensing.org
ID 4308995
LAST UPDATED 2026-05-13 07:48:27 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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