Biosport Physical Therapy INC

NPI #1619857273 in Manteca, California

Provider Information

NPI Number: 1619857273
Entity Type: Organization
Organization Name: Biosport Physical Therapy INC
Subpart: Yes (part of a larger organization)
Parent Organization: BIOSPORT PHYSICAL THERAPY INC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 4, 2025
Last Updated: Sep 4, 2025

Practice Location

Address: 1325 HISTORICAL PLAZA WAY
City: Manteca
State: California
ZIP Code: 95336-5064
Phone: (209) 524-7488

Authorized Official

Name: DR. ALEXANDER EDWARD STAVRIANOUDAKIS, DPT
Title: DOCTOR OF PHYSICAL THERAPY/CO-OWNER
Phone: (209) 620-5554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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