Individual provider · Type 1 NPI

Stephen Mitchell Balkam, P.T

Pediatric Physical Therapist · San Diego, CA

NPI number 1073639613 Active

Practice location

1005 47th St
San Diego, CA 92102-3626

Fax (619) 262-8918

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X21265 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1073639613

Stephen Mitchell Balkam, P.T's National Provider Identifier is 1073639613, issued on Mar 22, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.