Individual
BRYAN GHIOSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
FILE 50469, LOS ANGELES, CA 90074-0469
(530) 778-0200
Mailing address
3441 ALMA ST, SUITE 200, PALO ALTO, CA 94306-3506
(650) 323-4440
(650) 323-4441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40775
PT LICENSE
CA
Enumeration date
12/23/2013
Last updated
12/23/2013
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