Healthcare Provider Details

I. General information

NPI: 1659276665
Provider Name (Legal Business Name): RONAWELL TOUCH
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8399 GARVEY AVE
ROSEMEAD CA
91770-2650
US

IV. Provider business mailing address

8399 GARVEY AVE
ROSEMEAD CA
91770-2650
US

V. Phone/Fax

Practice location:
  • Phone: 626-631-9396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number25180
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: