Individual provider · Type 1 NPI

Eva Provost

Occupational Therapist · Bridgeport, CT

NPI number 1750427183 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Fax (203) 336-7368

Mailing address

285 Karen Dr
Orange, CT 06477-2937

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X001018 (CT)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1750427183

Eva Provost's National Provider Identifier is 1750427183, issued on Jan 30, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 8, 2007.