# STREAM OF LIFE ACUPUNCTURE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083319024
- **Authorized official:** KARL FREY L. AC (OWNER)
- **Authorized official phone:** (717) 977-0280

## Contact information

- **Practice address:** 18700 CRESTWOOD DR, HAGERSTOWN, MD 21742-2706
- **Practice address phone:** (240) 850-2955
- **Mailing address:** 14319 MARSH PIKE, HAGERSTOWN, MD 21742-1645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 03/31/2023