Search › California › 167G00000X
Ebony Venable, LPT
NPI 1508493495 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1481 Windsor Dr
San Bernardino, CA 92404 - Phone
- (909) 361-6472
- Fax
- (909) 203-7403
- Clinicians at this address
- 102
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California