Eva Provost
Eva Provost is an Occupational Therapist in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
267 Grant StBridgeport, CT 06610-2805
Phone: (203) 384-3000
Fax: (203) 336-7368
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 001018 (CT) |
|---|
Record details
| NPI number | 1750427183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 285 Karen Dr, Orange, CT 06477-2937 |
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