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Jerry Bourassa, PHYSICAL THERAPSIT
NPI 1376721779 · on the registry since 2008 · sole proprietor
Practice
- Address
- 146 S Granite St
Prescott, AZ 86303 - Phone
- (928) 717-3236
- Organisation at this address
- Prescott Unified School District
Prescott Unified School DistrictInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona