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Organization

BIOSPORT PHYSICAL THERAPY GROVELAND INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEOVARDO CHAVEZ MPT, DPT, ATC, DN (CEO/FOUNDER/PHYSICAL THERAPIST)
(209) 524-7488
Entity
Organization

Contact information

Practice address
18800 MAIN ST, GROVELAND, CA 95321-9469
(209) 524-7488
(209) 522-7488
Mailing address
PO BOX 576751, MODESTO, CA 95357-6751
(209) 524-7488

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/31/2022
Last updated
05/31/2022
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