Individual
BRIANNE CUSICK GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10121 E BELL RD STE 140, SCOTTSDALE, AZ 85260-2187
(480) 419-3500
(480) 419-3522
Mailing address
PO BOX 18607, FOUNTAIN HILLS, AZ 85269-8607
(480) 419-3500
(480) 419-3522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013766
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA-013766
PHYSICAL THERAPIST ASSISTANT
AZ
Enumeration date
07/24/2018
Last updated
01/22/2019
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