TODD PROVOST, PTA
Restorative Service Providers at Cottage Grove Rd, Bloomfield, CT

License number
Connecticut 007915
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address 2
673 Cottage Grove Rd, Bloomfield, CT 06002
40 Woodland St, Hartford, CT 06105
Phone
(860) 286-1043
(860) 286-2836 (Fax)
(860) 522-2717
(860) 249-6164 (Fax)
National Provider ID: 1134311962
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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