Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGNES L EBBAH
Active Sole ProprietorAGNES L EBBAH is a Physical Therapy Assistant healthcare provider located in SAN PEDRO, California. NPI 1568518470 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAN PEDRO, CA
Registration Details
- NPI Number
- 1568518470
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2007 (19.526149941266 yrs)
- Last Updated
- May 2, 2008
- License
-
PT40QA01230500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28004 S WESTERN AVEAPT 310SAN PEDRO, CA, 907321200Browse CA providers · Browse ZIP 90732
- Phone
- 3109105280
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAN PEDRO, CA
| Name | Credential | NPI |
|---|---|---|
| LISA J SHEPARD | DPT, OCS | 1063420545 |
| MICHAEL T O'DONNELL | DPT, OCS | 1275541724 |
| MRS. KATHRYN KASSAI | P.T. | 1881788354 |
| MR. PAUL E KENDER | PT | 1366536898 |
| MS. LINDA ANN LINDHOLM | RPT | 1952489874 |
| MS. MARION CHRISTINE IPENBURG | LAC, RPT | 1467503102 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.