Jerry Joseph Bourassa, PHYSICAL THERAPSIT

NPI #1376721779 in Prescott, Arizona

Provider Information

NPI Number
1376721779
Entity Type
Individual
Name
Jerry Joseph Bourassa, PHYSICAL THERAPSIT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
PHYSICAL THERAPSIT
Enumeration Date
Feb 7, 2008
Last Updated
Feb 7, 2008

Practice Location

Address
146 S GRANITE ST
State
Arizona
ZIP Code
86303-4710
Phone
(928) 717-3236

Specialties & Taxonomy Codes

Specialty
Specialist

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