Individual
BRIAN EBISUZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 COMMONWEALTH AVE, BOSTON, MA 02215-1394
(617) 358-3700
Mailing address
2106 BLACKWOOD DR, SAN PABLO, CA 94806-1005
(415) 269-0277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL88649
MA
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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