person
Stefanie Bourassa, MSPT
Specialist in Enfield, Connecticut
NPI 1497925283

Stefanie Bourassa is a Specialist based in Enfield, CT. Stefanie Bourassa practices in Enfield, CT and has the professional credentials of MSPT. The NPI Number for Stefanie Bourassa is 1497925283 and holds a License No. 008279 (Connecticut).

The current practice location address for Stefanie Bourassa is 145 Hazard Ave, Enfield, CT and can be reached out via phone at 860-265-2571 and via fax at 860-265-2574. You can also correspond with Stefanie Bourassa through the mailing address at 145 HAZARD AVE, ENFIELD, CT - 06082-4521 (mailing address contact number: 860-265-2571).

Location: 145 Hazard Ave, Enfield, CT, 06082-4521
person
Provider Profile Details
NPI Number
1497925283
Provider Name
Stefanie Bourassa
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
145 Hazard Ave, Enfield, CT, 06082-4521
Phone Number
860-265-2571
Fax Number
860-265-2574
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51084 01 CT BIRTHDATE
institution
Provider Business Practice Location Address Details
Address
145 Hazard Ave
City
State
Zip
06082-4521
Phone Number
860-265-2571
Fax Number
860-265-2574
person
Provider Business Mailing Address Details
Address
145 Hazard Ave
City
State
Zip
06082-4521
Phone Number
860-265-2571
Fax Number
860-265-2574
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
008279 (Connecticut)
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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