Individual
ALEXANDER EDWARD STAVRIANOUDAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2303 GEER RD, TURLOCK, CA 95382-2408
(209) 585-4100
Mailing address
8718 W MAIN ST, TURLOCK, CA 95380-8327
(209) 620-5554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
294078
CA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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