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Search › Connecticut › 225200000X

Amy Provencal, PTA

NPI 1255584561 · on the registry since 2008

Practice

Address
950 Campbell Ave
West Haven, CT 06516
Phone
(203) 935-5711
Organisation at this address
Va Healthcare
West Haven Vamc
West Haven Vamc
West Haven Vamc
Ct Va Healthcare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
745

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut