Individual provider · NPI-1

Richard C. Balch, P.T.

Physical Therapist · Fair Lawn, NJ

NPI number1154425841
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154425841
Entity type
Individual (NPI-1)
Name
Richard C. Balch
Credential
P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist40QA00190000NJYes

Practice location

23-00 Route 208
Fair Lawn, NJ 07410

Phone 201-796-1138 · Fax 201-796-7484

Mailing address

23-00 Route 208
Fair Lawn, NJ 07410

Phone 201-796-1138 · Fax 201-796-7484

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