MRS. Samantha Patricia Bourassa, ATC, LAT
NPI #1245792910 in Post Falls, Idaho
Provider Information
- NPI Number
- 1245792910
- Entity Type
- Individual
- Name
- MRS. Samantha Patricia Bourassa, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Apr 2, 2019
- Last Updated
- Apr 2, 2019
Practice Location
- Address
- 2832 E POLELINE AVE
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854
- Phone
- (208) 773-0581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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