Individual
DR. SPENCER ANDREW BOURASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9394 W DODGE RD STE 300, OMAHA, NE 68114-3319
(800) 732-3784
Mailing address
84 RUSTIC LN, LYMAN, ME 04002-6042
(207) 590-9179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26806
MA
225100000X
Physical Therapist
PT39406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT39406
FLORIDA PT LICENSE NUMBER
FL
Enumeration date
10/12/2022
Last updated
05/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us