Individual
DR. LEOVARDO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, DPT, ATC, DN
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
(209) 524-7488
(209) 522-7488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
27941
CA
2251G0304X
Geriatric Physical Therapist
27941
CA
2251S0007X
Sports Physical Therapist
27941
CA
2251X0800X
Orthopedic Physical Therapist
Primary
27941
CA
Other
Enumeration date
12/26/2006
Last updated
03/31/2022
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