Jerry Joseph Bourassa, PHYSICALTHERAPSIT
Jerry Joseph Bourassa, PHYSICALTHERAPSIT is a Specialist in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2008
Practice location Address checks out
146 S Granite StPrescott, AZ 86303-4710
Phone: (928) 717-3236
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1370 (AZ) |
|---|
Record details
| NPI number | 1376721779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICALTHERAPSIT |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2008 |
| Last updated in NPPES | February 7, 2008 |
| Mailing address | 146 S Granite St, Prescott, AZ 86303-4710 |
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