Individual
DR. BRYAN MASARU TACHIBANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, LAT
Contact information
Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 632-0816
Mailing address
3825 EL CAMINO REAL, PALO ALTO, CA 94306-3324
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT299700
CA
225100000X
Physical Therapist
32505
FL
Other
Enumeration date
07/07/2017
Last updated
05/27/2022
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