-- STEFANIE BOURASSA -- MSPT
Individual Provider (NPI-1)
Active
Specialist
Provider Information
- NPI Number
1497925283- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSPT
- Status
- Active
Contact & Location
- Address
- 145 HAZARD AVE SUITE B, ENFIELD, CT, 060824521
- Phone
- (860) 265-2571
- Fax
- (860) 265-2574
Specialties & Taxonomies
Specialist
Primary License: CT #008279