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 2024-03-28 13:19:38 UTC
LAST UPDATED 2024-03-28 13:19:38 UTC
This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.