Individual
NIC BALOCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16261 REDMOND WAY STE 100, REDMOND, WA 98052-3833
(425) 881-3001
(425) 881-3585
Mailing address
16261 REDMOND WAY STE 100, REDMOND, WA 98052-3833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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