Biosport Physical Therapy San Joaquin INC
NPI #1679291827 in Tracy, California
Provider Information
- NPI Number
- 1679291827
- Entity Type
- Organization
- Organization Name
- Biosport Physical Therapy San Joaquin INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Sep 27, 2022
Practice Location
- Address
- 2156 W GRANT LINE RD STE 215
- City
- Tracy
- State
- California
- ZIP Code
- 95377-7337
- Phone
- (209) 524-7488
Authorized Official
- Name
- DR. LEOVARDO CHAVEZ, MPT, DPT, ATC
- Title
- CEO/CFO/PHYSICAL THERAPIST
- Phone
- (209) 524-7488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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