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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. AMY PROVENCAL, PTA

Active

MRS. AMY PROVENCAL, PTA is a Occupational Therapist healthcare provider located in WEST HAVEN, Connecticut. NPI 1255584561 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WEST HAVEN, CT

Registration Details

NPI Number
1255584561
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2008 (17.745888418999 yrs)
Last Updated
Oct 30, 2008
License
000199 (CT)

Practice Information

Address
950 CAMPBELL AVE
WEST HAVEN, CT, 065162770
Browse CT providers · Browse ZIP 06516
Phone
2039355711
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in WEST HAVEN, CT

Name Credential NPI
MR. JOSEPH P LAIRD PTA 1659466415
LISA FERNEZ PTA 1235348624
MS. JUVY LOU ABARIENTOS 1295082865
PAUL M SCELZA PTA 1124452065
NATALIYA KUSHTA PTA 1699101030
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.