Individual provider · Type 1 NPI

Jerry Joseph Bourassa, PHYSICAL THERAPSIT

Specialist · Prescott, AZ

NPI number 1376721779 Active

Practice location

146 S Granite St
Prescott, AZ 86303-4710

Call (928) 717-3236 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1370 (AZ)

Specialist: 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.

19 other providers at this address

Other specialist providers in Prescott

See all in Prescott →

About NPI 1376721779

Jerry Joseph Bourassa, PHYSICAL THERAPSIT's National Provider Identifier is 1376721779, issued on Feb 7, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Prescott, AZ. The record was last updated on Feb 7, 2008.