License holder summary

JONATHAN PROVOST is a Physical Therapist licensed to practice in Connecticut. The address on file for JONATHAN PROVOST is 72 N SUMMER ST, Berkshire, ADAMS, MA, 01220-1565. This licensed professional license is current. The license was granted 06/13/2014 and expired on 10/10/2014.

Connecticut

Department of Consumer Protection

JONATHAN PROVOST
Physical Therapist
License number
10164
Date granted
06/13/2014
Date expires
10/10/2014
Class
Physical Therapist
Status
Active
Address
72 N SUMMER ST, Berkshire, ADAMS, MA, 01220-1565
ctlicensing.org
ID 18319835
LAST UPDATED 2026-03-23 15:44:09 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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