Provider Demographics
NPI:1467555441
Name:DONLIN, RHONDA RENEE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:RENEE
Last Name:DONLIN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12427 BLAZING STAR CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-1663
Mailing Address - Country:US
Mailing Address - Phone:909-463-7481
Mailing Address - Fax:
Practice Address - Street 1:3200 INLAND EMPIRE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-5513
Practice Address - Country:US
Practice Address - Phone:909-945-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT 6228225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant