Whalio Doctors

NPI 1215148929

Carrie Ann Black Bourassa, RRT

Practitioner Pulmonary Rehabilitation Registered Respiratory Therapist Saint Paul, MN

Practice location

Address
225 Smith Ave N STE 301, Saint Paul, MN 55102-2534
Phone
(651) 288-5180
Fax
(651) 288-5188
Mailing address
25 Morningside Dr, Saint Paul, MN 55119-5006

Registered specialties

Pulmonary Rehabilitation Registered Respiratory Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279P1005X Licence 2276 (MN)

Registry record

NPI
1215148929
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.