Most Relevant Information
Provider Data
| NPI Number: | 1003384934 |
| Provider Name: | THEODORE RONALD OLIVER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | PT295296 |
Most Important Dates
| Enumeration Date: | 11/08/2018 |
| Last Updated: | 06/18/2021 |
Provider Practice Location
17050 ARNOLD DR
RIVERSIDE
CA
925182806
Practice Location Phone/Fax
| Phone: | 8333991402 |
| Fax: | 9518489676 |
Provider Mailing Location
1778 SOMERSET LN
REDLANDS
CA
923745561
Provider Mailing Phone/Fax
| Phone: | 9516602340 |
| Fax: |