Individual
ALLISON WEHUNT BOURASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS, ATC
Contact information
Practice address
1043 JACK VEST DR, JOHNSON CITY, TN 37614
(423) 439-4044
(423) 439-5264
Mailing address
216 CHARLES ED ALLEN HALL, JOHNSON CITY, TN 37614-3429
(423) 439-8275
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
10865
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194165696
—
VA
05
—
Q078265
—
TN
Enumeration date
06/28/2013
Last updated
01/16/2024
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