IndividualActive
Amy Provost
NPI 1588322705 · Developmental Therapist · Cromwell, CT
Provider details
- NPI number
- 1588322705
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
162 West St Ste F
Cromwell, CT 06416-4405
Phone: (860) 613-9930
Fax: (860) 613-9952
Approximate (ZIP-level) locationGet directions
Mailing address
162 West St Ste F
Cromwell, CT 06416-4405
Registry dates
- Enumerated
- 2021-12-05
- Last updated
- 2021-12-05
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.