Individual
MICHAEL BALBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
(360) 426-4680
Mailing address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
(360) 426-4680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160220300
WA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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