Ericka Paige Provost
ActiveCalifornia license 16010
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 16010
- Status
- Active (Current)
- First issued
- February 10, 2016
- Expires
- August 31, 2028
- License holder
- Ericka Paige Provost
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
1004 Winsford Rd
Towson, MD 21204-2752
Towson, MD 21204-2752
Baltimore County