Individual provider · Type 1 NPI
Shona Deundra Tate
Rehabilitation Practitioner · Banning, CA
NPI number
1407797566
Active
Practice location
63 S 4th St
Banning, CA 92220-4861
Mailing address
255 N Soboba St
Hemet, CA 92544-5125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Another provider at this address
Other rehabilitation practitioner providers in Banning
About NPI 1407797566
Shona Deundra Tate's National Provider Identifier is 1407797566, issued on Apr 2, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Banning, CA. The record was last updated on Apr 2, 2026.