Organization
BIOSPORT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOVARDO CHAVEZ MPT, DPT, ATC (PHYSICAL THERAPIST / PRESIDENT)
(209) 524-7488
Entity
Organization
Contact information
Practice address
4341 SPYRES WAY, MODESTO, CA 95356-9259
(209) 524-7488
(209) 522-7488
Mailing address
PO BOX 576751, MODESTO, CA 95357-6751
(209) 524-7488
(209) 522-7488
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
27941
CA
Other
Enumeration date
11/16/2010
Last updated
03/31/2022
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