MARK BOURASSA

SAGINAW, MI
NPI1982097689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003302)
Enumeration Date2015-03-05
Last Update Date2015-03-06
Business Address
-- MARK BOURASSA PTA
1500 WEISS ST
SAGINAW, MI 48602-5251
Phone number: 989-497-2500
Mailing Address
-- MARK BOURASSA PTA
1220 E REID RD
GRAND BLANC, MI 48439-8835
Phone number:
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