Individual
MS. CARRIE ANN BLACK BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
225 SMITH AVE N STE 301, SAINT PAUL, MN 55102-2534
(651) 288-5180
(651) 288-5188
Mailing address
25 MORNINGSIDE DR, SAINT PAUL, MN 55119-5006
(651) 730-0535
Taxonomy
Speciality
Code
Description
License number
State
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
2276
MN
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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