License holder summary

TODD PROVOST is a Physical Therapist Assistant licensed to practice in Connecticut. The address on file for TODD PROVOST is 65 Cooper St., West Springfield, MA, 01089. This licensed professional license is current. The license was granted 08/21/2007 and expired on 05/31/2015.

Connecticut

Department of Consumer Protection

TODD PROVOST
Physical Therapist Assistant
License number
976
Date granted
08/21/2007
Date expires
05/31/2015
Class
Physical Therapist Assistant
Status
Active
Address
65 Cooper St., West Springfield, MA, 01089
ctlicensing.org
ID 4310346
LAST UPDATED 2026-04-17 19:08:41 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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