License holder summary

Denise J Provoost is a Physical Therapist Assistant licensed to practice in New Mexico. This licensed professional license is current. The license was granted 02/18/2010 and expired on 02/01/2014.

New Mexico

Regulation & Licensing Department

Denise J Provoost
Physical Therapist Assistant
License number
A-0714
Date granted
02/18/2010
Date expires
02/01/2014
Class
Physical Therapist Assistant
Status
Active
licensingnm.com
ID 5886735
LAST UPDATED 2026-06-05 01:38:08 UTC

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