JERRY BOURASSA, PHYSICAL THERAPSIT

Specialist

Active Individual
NPI: 1376721779

Practice Address

146 S GRANITE ST
Prescott, AZ 86303

Phone: (928) 717-3236

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 1370 (AZ)

Frequently Asked Questions

NPI 1376721779 is the National Provider Identifier for JERRY BOURASSA, PHYSICAL THERAPSIT, a Specialist provider located in Prescott, AZ. This NPI was enumerated on February 7, 2008.
JERRY BOURASSA, PHYSICAL THERAPSIT practices at 146 S GRANITE ST, Prescott, AZ 86303.

Quick Facts

NPI
1376721779
Type
Individual
Enumerated
Feb 7, 2008
Last Updated
Feb 7, 2008

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