License holder summary

DANIELLE PROVOST is a Physical Therapist licensed to practice in Connecticut. The address on file for DANIELLE PROVOST is 65 Cooper St., West Springfield, MA, 01089. This licensed professional license is current. The license was granted 05/01/2014 and expired on 04/30/2015.

Connecticut

Department of Consumer Protection

DANIELLE PROVOST
Physical Therapist
License number
8197
Date granted
05/01/2014
Date expires
04/30/2015
Class
Physical Therapist
Status
Active
Address
65 Cooper St., West Springfield, MA, 01089
ctlicensing.org
ID 4302561
LAST UPDATED 2026-05-27 20:53:39 UTC

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