Individual
THEODORE RONALD OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17050 ARNOLD DR, RIVERSIDE, CA 92518-2806
(833) 399-1402
(951) 848-9676
Mailing address
1778 SOMERSET LN, REDLANDS, CA 92374-5561
(951) 660-2340
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT295296
CA
Other
Enumeration date
11/08/2018
Last updated
06/18/2021
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