Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD PROVOST, PTA
ActiveTODD PROVOST, PTA is a Occupational Therapist healthcare provider located in BLOOMFIELD, Connecticut. NPI 1134311962 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BLOOMFIELD, CT
Registration Details
- NPI Number
- 1134311962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2007 (18.97170539352 yrs)
- Last Updated
- Aug 15, 2007
- License
-
007915 (MA)
Practice Information
- Address
-
673 COTTAGE GROVE RDBLOOMFIELD, CT, 060023033Browse CT providers · Browse ZIP 06002
- Phone
- 8602861043
- Fax
- 8602862836
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BLOOMFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| CHERONE LEVY | — | 1316038193 |
| JACQUELINE MARIE CARRERA | PTA | 1912507898 |
| MOLLY FINNIGAN | PTA | 1851991517 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.