Individual provider · Type 1 NPI

Mark Bourassa, PTA

Physical Therapy Assistant · Saginaw, MI

NPI number 1982097689 Active

Practice location

1500 Weiss St
Saginaw, MI 48602-5251

Call (989) 497-2500 Map

Fax (989) 321-4948

Mailing address

1220 E Reid Rd
Grand Blanc, MI 48439-8835

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502003302 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1982097689

Mark Bourassa, PTA's National Provider Identifier is 1982097689, issued on Mar 5, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Saginaw, MI. The record was last updated on Mar 6, 2015.