Individual
STEPHEN MITCHELL BALKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
1005 47TH ST, SAN DIEGO, CA 92102-3626
(619) 262-7342
(619) 262-8918
Mailing address
1005 47TH ST, SAN DIEGO, CA 92102-3626
(619) 262-7342
(619) 262-8918
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
21265
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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