Ebbah, Agnes L

Ebbah, Agnes L is an sole proprietor health care provider with primary practice located at 28004 S Western Ave Apt 310, San Pedro CA 90732-1200. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ebbah, Agnes L can be contacted via phone (310) 910-5280.

Contact Information

Primary practice address
28004 S Western Ave Apt 310 San Pedro CA 90732-1200
Phone: (310) 910-5280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT40QA01230500 New Jersey

Profile Details

NPI number 1568518470
LBN Legal business name Ebbah, Agnes L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated May 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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