Michael Bourassa, D.P.T.

NPI #1013214816 in Jacksonville, Florida

Provider Information

NPI Number: 1013214816
Entity Type: Individual
Name: Michael Bourassa, D.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T.
Enumeration Date: Feb 15, 2011
Last Updated: Feb 9, 2012

Practice Location

Address: 310 DUNDAS DR
Address 2: SUITE 8
City: Jacksonville
State: Florida
ZIP Code: 32218-5588
Phone: (904) 757-1782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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