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
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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