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Jerry Joseph Bourassa, PHYSICALTHERAPSIT
Specialist in Prescott, Arizona
NPI 1376721779

Jerry Joseph Bourassa is a Specialist based in Prescott, AZ. Jerry Joseph Bourassa practices in Prescott, AZ and has the professional credentials of PHYSICALTHERAPSIT. The NPI Number for Jerry Joseph Bourassa is 1376721779 and holds a License No. 1370 (Arizona).

The current practice location address for Jerry Joseph Bourassa is 146 S Granite St, Prescott, AZ and can be reached out via phone at 928-717-3236.

Location: 146 S Granite St, Prescott, AZ, 86303-4710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376721779
Provider Name
Jerry Joseph Bourassa
Credential
PHYSICALTHERAPSIT
Provider Entity Type
Individual
Gender
Male
Address
146 S Granite St, Prescott, AZ, 86303-4710
Phone Number
928-717-3236
Fax Number
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
146 S Granite St
City
Prescott
State
Arizona
Zip
86303-4710
Phone Number
928-717-3236
Fax Number
person
Provider Business Mailing Address Details
Address
146 S Granite St
City
Prescott
State
Arizona
Zip
86303-4710
Phone Number
928-717-3236
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1370 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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