Provider Demographics
NPI:1366182727
Name:ZABALERIO, RYAN ANGELO (ATC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:ANGELO
Last Name:ZABALERIO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8928 GENTLE WIND DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4981
Mailing Address - Country:US
Mailing Address - Phone:951-249-4048
Mailing Address - Fax:
Practice Address - Street 1:8928 GENTLE WIND DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4981
Practice Address - Country:US
Practice Address - Phone:951-249-4048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer