Provider Demographics
NPI:1356418628
Name:WELCH, RONALD ALVIN (PT)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:ALVIN
Last Name:WELCH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:12686 AMBERHILL AVE
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-7242
Mailing Address - Country:US
Mailing Address - Phone:909-908-5592
Mailing Address - Fax:
Practice Address - Street 1:22550 SAVI RANCH PKWY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4670
Practice Address - Country:US
Practice Address - Phone:714-685-3587
Practice Address - Fax:714-748-7622
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT141912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic