Organization
BIOSPORT PHYSICAL THERAPY TRACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARANDEEP GILL DPT (OWNER / PHYSICAL THERAPIST)
(209) 627-6670
Entity
Organization
Contact information
Practice address
2156 W GRANT LINE RD STE 215, TRACY, CA 95377-7337
(209) 318-0282
(209) 318-0283
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
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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